NPIMap

Organization Active NPI

Healing for Life, PLLC

  • Chiropractor
  • Hickory, NC
National Provider Identifier
1528081593
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NC2382 Issued in NC
Legal business name
HEALING FOR LIFE, PLLC
Practice address
2436 N Center St
Hickory, NC 28601-1335
Phone
(828) 325-5850
Fax
(828) 325-5852
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Elizabeth F. Beadle, DC, DIPL.AC(NCCAOM)NPI 1033130190
Title
Owner
Phone
(828) 325-5850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X NC2382 NC Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 017990 VA

Addresses

Primary practice location

2436 N Center St
Hickory, NC 28601-1335

Mailing address

2436 N Center St
Hickory, NC 28601-1335
Phone (828) 325-5850

Other identifiers 1

IdentifierTypeStateIssuer
590187EMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080717000791 NC Part B Supplier - Clinic/Group Practice 7810060225 Receives reassigned benefits from 2 practitioners
Practice locations: Hickory, NC

National Provider Directory

National Provider Directory

Locations

2436 N Center St
Hickory, NC 28601
Phone (828) 325-5850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1528081593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011335",
            "telephone_number": "828-325-5850",
            "fax_number": "828-325-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011335",
            "telephone_number": "828-325-5850",
            "fax_number": "828-325-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING FOR LIFE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "BEADLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-325-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DIPL.AC(NCCAOM)"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "NC2382",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "017990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "590187E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.