Individual provider Active NPI

Shalymar C Troumbly, D.C.

  • Nutrition Chiropractor
  • Rochester, MN
National Provider Identifier
1619973385
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3659 Issued in MN
Practice address
2711 Commerce Dr NW Ste 300
Rochester, MN 55901-3240
Phone
(507) 206-4660
Fax
(507) 206-4783
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 3659 MN Primary

Addresses

Primary practice location

2711 Commerce Dr NW Ste 300
Rochester, MN 55901-3240

Mailing address

2711 Commerce Dr NW Ste 300
Rochester, MN 55901-3240
Phone (507) 206-4660

Other identifiers 3

IdentifierTypeStateIssuer
281M0LIOtherMNBCBS CONTRACTING PROVIDER
456719600OtherMNMN CARE
291M7NEOtherMNBCBS INDIVIDUAL PROVIDER

Other names 1

  • Shalymar C Nelson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000197 MN Practitioner - Chiropractic 5799672457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Canadian Memorial Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural Choice Chiropractic Center, P.a.Group PAC ID 9931274321, 2 clinicians

Practice addresses (Care Compare)

2711 Commerce Dr NW
Suite 300
Rochester, MN 55901-3240
Phone (507) 206-4660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3659MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Choice Chiropractic Center, P.a. CurrentSince Jan 1, 2015 Accepting new patients
Healing Hands Chiropractic Ctr LLC PastSince Jul 1, 2026 Accepting new patients
Shari E. Aultman DC PastSince Dec 1, 1997 Accepting new patients

Locations

2711 Commerce Dr NW
Ste 300
Rochester, MN 55901
Phone (507) 206-4660

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421452800000",
    "number": "1619973385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 COMMERCE DR NW STE 300",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013240",
            "telephone_number": "507-206-4660",
            "fax_number": "507-206-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 COMMERCE DR NW STE 300",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013240",
            "telephone_number": "507-206-4660",
            "fax_number": "507-206-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUMBLY",
        "first_name": "SHALYMAR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MN",
            "license": "3659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CONTRACTING PROVIDER",
            "identifier": "281M0LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN CARE",
            "identifier": "456719600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER",
            "identifier": "291M7NE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALYMAR",
            "last_name": "NELSON",
            "middle_name": "C",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; 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.