Health Choice of Olivia

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4314 Issued in MN

Legal business name

HEALTH CHOICE OF OLIVIA

Practice address

1325 W Lincoln Ave
Olivia, MN 56277-1272

Phone

(320) 523-1253

Fax

(320) 523-1572

NPI assigned

Jul 15, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Elizabeth Robideau, D.C.NPI 1427173285

Title

Dr. Robidea- President

Phone

(320) 523-1253

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Elizabeth Robideau, DC

  • Chiropractor
  • Olivia, MN
  • NPI 1427173285
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750380366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W LINCOLN AVE",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771272",
            "telephone_number": "320-523-1253",
            "fax_number": "320-523-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W LINCOLN AVE",
            "city": "OLIVIA",
            "state": "MN",
            "postal_code": "562771272",
            "telephone_number": "320-523-1253",
            "fax_number": "320-523-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CHOICE OF OLIVIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBIDEAU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DR. ROBIDEA- PRESIDENT",
        "authorized_official_telephone_number": "320-523-1253",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynne Forstner, MSN, FNP-C
• Fresenius Medical Care Centracare Dialysis, LLC
• Breanna Marie Grund
• Robert Carl Haakenson, M.D.
• Katie Hatch, LICSW
• Healthpartners RC
• Healthpartners RC
• Healthpartners RC
• Healthpartners RC
• Healthpartners RC

• All providers in Olivia, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.