Taryn Rose Yurich Nyblom

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003395 Issued in MN

Practice address

911 Main St S
Cambridge, MN 55008-2125

Phone

(763) 689-1110

Fax

(763) 552-1110

NPI assigned

Jan 22, 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Central Chiropractic Clinic, P.a.

  • Chiropractor
  • Cambridge, MN
  • NPI 1912051756
  Medicare reassignment NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487708301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MAIN ST S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550082125",
            "telephone_number": "763-689-1110",
            "fax_number": "763-552-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MAIN ST S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550082125",
            "telephone_number": "763-689-1110",
            "fax_number": "763-552-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBLOM",
        "first_name": "TARYN",
        "middle_name": "ROSE YURICH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "203D5NY",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC NUMBER",
            "identifier": "6C485EA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Pines Wellness PLLC
• Northway Academy, Inc.
• Northway Academy, Inc.
• Sara Milanio Nunes
• Jeffrey Duane Nyblom, D.C.
• Jenna Erin Nypan, MD
• Rachael O'Connor
• John O'Sullivan, MBBS
• Alexander John Oberg, DDS
• Sara Rae Ocker

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.