Nicholette Kimm, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4114 Issued in MN

Practice address

16283 Ipava Ave
Lakeville, MN 55044-4658

Phone

(952) 898-2287

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicholette Gallagher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467595744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 147TH ST W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684235",
            "telephone_number": "651-423-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16283 IPAVA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444658",
            "telephone_number": "952-898-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMM",
        "first_name": "NICHOLETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLETTE",
            "last_name": "GALLAGHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittin Kent
• Michael Clifton Kerstetter, MA
• Brandi Lynne Ketterling
• Kids First Pediatrics, LTD
• Injung Kim, RN
• Jennifer Betty Kindem
• Brandon H King, OD
• Kingsway Chiropractic, PA
• Michael J Kinzer, L.M.F.T.
• Lisa Kippley, PA-C

• Chiropractor in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.