Active NPI
Felicia Marie Conner, D.C.,DICCP
- Pediatric Chiropractor
- Bloomington, MN
National Provider Identifier
1538257548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 4414
- Practice address
- 8120 Penn Ave S Ste 245
Bloomington, MN 55431-1504 - Phone
- (612) 590-5881
- Fax
- (612) 888-0111
- NPI assigned
- Oct 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4078 | WI | |
| Pediatric Chiropractor | 111NP0017X | 4414 | MN | Primary |
Addresses
Primary practice location
8120 Penn Ave S Ste 245
Bloomington, MN 55431-1504
Mailing address
8120 Penn Ave S Ste 245
Bloomington, MN 55431-1504
Phone (612) 590-5881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38956900 | Medicaid | WI |
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 |
|---|---|---|---|
| 4078 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discover Family Chiropractic | Chiropractor | Past | Accepting new patients |
| Damrow Chiropractic Office, SC | Chiropractor | Past | Accepting new patients |
| Hyva Elama, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Apple Valley, MN
- NPI 1336368638
-
- Chiropractor
- Savage, MN
- NPI 1215086384
-
- Chiropractor
- Janesville, WI
- NPI 1558476325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1538257548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 PENN AVE S STE 245",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311504",
"telephone_number": "612-590-5881",
"fax_number": "612-888-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 PENN AVE S STE 245",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311504",
"telephone_number": "612-590-5881",
"fax_number": "612-888-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "FELICIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.,DICCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4078",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "MN",
"license": "4414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38956900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.