Active NPI
Heather Ann Goodspeed, D.C.
- Chiropractor
- Nevada City, CA
National Provider Identifier
1700055050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-25237
- Practice address
- 200 Providence Mine Rd
#108
Nevada City, CA 95959-2958 - Phone
- (530) 264-6368
- Fax
- (530) 687-8109
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | DC-25237 | CA | Primary |
Addresses
Primary practice location
200 Providence Mine Rd
#108
Nevada City, CA 95959-2958
Mailing address
200 Providence Mine Rd
#108
Nevada City, CA 95959-2958
Phone (530) 264-6368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141210000230 | CA | Practitioner - Chiropractic | 3375434459 | Practice locations: Nevada City, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 Providence Mine Rd
Suite 108
Nevada City, CA 95959-2958
Phone (530) 264-6368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25237 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| DC-25237 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1700055050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PROVIDENCE MINE RD",
"address_2": "#108",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592958",
"telephone_number": "530-264-6368",
"fax_number": "530-687-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PROVIDENCE MINE RD",
"address_2": "#108",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592958",
"telephone_number": "530-264-6368",
"fax_number": "530-687-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSPEED",
"first_name": "HEATHER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-25237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.