Organization Active NPI

Pride in Your Health Holistic Clinic PC

  • Nutrition Chiropractor
  • Champaign, IL
National Provider Identifier
1578843835
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
PRIDE IN YOUR HEALTH HOLISTIC CLINIC PC
Practice address
110 N 1St St
Champaign, IL 61820-4107
Phone
(217) 359-0707
Fax
(217) 359-0710
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Anita B Pride, D.C.
Title
President
Phone
(217) 359-0707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X Primary

Addresses

Primary practice location

110 N 1St St
Champaign, IL 61820-4107

Mailing address

110 N 1St St
Champaign, IL 61820-4107
Phone (217) 359-0707

National Provider Directory

National Provider Directory

Locations

110 N 1st St
Champaign, IL 61820
Phone (217) 359-0707

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1578843835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 1ST ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204107",
            "telephone_number": "217-359-0707",
            "fax_number": "217-359-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 1ST ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204107",
            "telephone_number": "217-359-0707",
            "fax_number": "217-359-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE IN YOUR HEALTH HOLISTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "PRIDE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-359-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.