Individual provider Active NPI

Alyson Corin Raymo, DC

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1578298188
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6232 Issued in OR
Practice address
7300 147TH St W Ste 101
Apple Valley, MN 55124-7541
Phone
(612) 508-2454
Fax
(612) 429-6791
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6232 OR Primary

Addresses

Primary practice location

7300 147TH St W Ste 101
Apple Valley, MN 55124-7541

Mailing address

7300 147TH St W Ste 101
Apple Valley, MN 55124-7541
Phone (612) 508-2454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928001684 MN Practitioner - Chiropractic 6002260759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6232ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeway Chiropractic and Wellness LLC Chiropractor CurrentSince Sep 13, 2023 Accepting new patients

Locations

7300 147th St W
Ste 301
Saint Paul, MN 55124
Phone (612) 508-2454

7300 147th St W
Ste 101
Saint Paul, MN 55124
Phone (612) 251-7909

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1578298188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "612-508-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "612-508-2454",
            "fax_number": "612-429-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMO",
        "first_name": "ALYSON",
        "middle_name": "CORIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.