Active NPI
Lovette Renee Mieczkowski, D.C.
- Chiropractor
- Sauk Centre, MN
National Provider Identifier
1487712527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2621
- Practice address
- 857 Main St S
Sauk Centre, MN 56378-1646 - Phone
- (320) 352-5227
- Fax
- (320) 352-2865
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2621 | MN | Primary |
Addresses
Primary practice location
857 Main St S
Sauk Centre, MN 56378-1646
Mailing address
857 Main St S
Sauk Centre, MN 56378-1646
Phone (320) 352-5227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2621 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Lake Higgins, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487712527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 MAIN ST S",
"city": "SAUK CENTRE",
"state": "MN",
"postal_code": "563781646",
"telephone_number": "320-352-5227",
"fax_number": "320-352-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 MAIN ST S",
"city": "SAUK CENTRE",
"state": "MN",
"postal_code": "563781646",
"telephone_number": "320-352-5227",
"fax_number": "320-352-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIECZKOWSKI",
"first_name": "LOVETTE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sauk Centre, MN
Sources for this page
- 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.