Active NPI
Nicole Prater, DC
- Chiropractor
- Post Falls, ID
National Provider Identifier
1639854540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-2339
- Practice address
- 101 W Mullan Ave
Post Falls, ID 83854-9217 - Phone
- (208) 469-3929
- NPI assigned
- Jun 19, 2023
- Last updated
- Sep 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-2339 | ID | Primary |
Addresses
Primary practice location
101 W Mullan Ave
Post Falls, ID 83854-9217
Mailing address
101 W Mullan Ave
Post Falls, ID 83854-9217
Phone (208) 469-3929
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-2339 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignite Wellness Center PLLC | Chiropractor | Current | Accepting new patients |
| Active Family Healthcare PLLC | Past | Accepting new patients |
Locations
101 W Mullan Ave
Post Falls, ID 83854
Phone (208) 469-3929
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Coeur d'Alene, ID
- NPI 1063764462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1639854540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W MULLAN AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549217",
"telephone_number": "208-469-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W MULLAN AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549217",
"telephone_number": "208-469-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATER",
"first_name": "NICOLE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-19",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-2339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Post Falls, ID
- Post Falls Medical Investors LLC (Life Care Centers of Post Falls)
- Post Falls Optometric Physicians PLLC (Post Falls Optometric Physicians)
- Post Falls Orthodontics PLLC (Post Falls Orthodontics)
- Post Falls Physical Therapy LLC
- Post Falls Vision Clinic PLLC
- Trevor Prater, DC
- Megan Price, PTA
- Providence Human Services of Wa (ACES Community Services)
- Patricia Ann Provine, OTR
- Psychiatric Resilience LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.