Individual provider Active NPI

Karen Sloboda, D.C.

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1508365776
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1958 Issued in NE
Practice address
3121 South 11TH Street
Lincoln, NE 68502
Phone
(402) 328-0028
NPI assigned
Feb 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1958 NE Primary

Addresses

Primary practice location

3121 South 11TH Street
Lincoln, NE 68502

Mailing address

4141 Pioneer Woods Dr
Ste 116
Lincoln, NE 68506-7569
Phone (402) 420-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180426002442 NE Practitioner - Chiropractic 6507120581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Life Family Chiropractic PCGroup PAC ID 2961432992, 6 clinicians

Practice addresses (Care Compare)

4141 Pioneer Woods Dr
Suite 116
Lincoln, NE 68506-7569
Phone (402) 420-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1958NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Family Chiropractic, P.C. Chiropractor CurrentSince Oct 9, 2019 Accepting new patients

Locations

4141 Pioneer Woods Dr
Ste 116
Lincoln, NE 68506
Phone (402) 420-0440

8244 Northern Lights Dr
Ste 106
Lincoln, NE 68505
Phone (402) 420-0440

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1508365776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 PIONEER WOODS DR",
            "address_2": "STE 116",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067569",
            "telephone_number": "402-420-0440",
            "fax_number": "402-420-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 SOUTH 11TH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68502",
            "telephone_number": "402-328-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBODA",
        "first_name": "KAREN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.