Active NPI
Laura Nicole Aggen, D.C.
- Chiropractor
- Coeur d'Alene, ID
National Provider Identifier
1487988077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1357
- Practice address
- 6125 N Sunshine St Ste a
Coeur D Alene, ID 83815-8688 - Phone
- (208) 772-0802
- Fax
- (208) 762-3531
- NPI assigned
- Sep 29, 2009
- Last updated
- Sep 29, 2009
- 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 | CHIA-1357 | ID | Primary |
Addresses
Primary practice location
6125 N Sunshine St Ste a
Coeur D Alene, ID 83815-8688
Mailing address
6125 N Sunshine St Ste a
Coeur D Alene, ID 83815-8688
Phone (208) 772-0802
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1357 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1487988077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 N SUNSHINE ST STE A",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158688",
"telephone_number": "208-772-0802",
"fax_number": "208-762-3531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6125 N SUNSHINE ST STE A",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158688",
"telephone_number": "208-772-0802",
"fax_number": "208-762-3531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGGEN",
"first_name": "LAURA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur d'Alene, ID
- Advanced Health Center PC
- Advanced Home Health Incorporated
- Marilyn Aenchbacher
- Affordable Hearing AIDS Inc
- David Thomas Aggen, D.C.
- Ahc Home Health of Coeur D Alene LLC (Advanced Home Care & Hospice of Northern Idaho)
- Ahc of Coeur D Alene LLC (Advanced Health Care of Coeur d' Alene)
- Ahhpc Corp (Inland Home Healthcare)
- Gregory W Aiman, DMD
- Albert Crook, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.