Heather Ann Nelson Jordahl, DC
Individual provider Active NPI Chiropractor · Eldridge, IA
NPI 1770624124 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770624124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06510 (IA)
- Practice address
- 224 North 2ND St
Eldridge, IA 52748 - Phone
- (563) 285-1414
- Fax
- (563) 285-1414
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
120 S 6TH Ave
Eldridge, IA 52748-1941
Phone (563) 285-1414
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040528000101 | IA | Practitioner - Chiropractic | 8123009818 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06510 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H a Nelson Enterprises LLC | Chiropractor | Current |
Accepting new patients |
Locations
120 S 6th Ave
Eldridge, IA 52748
Phone (319) 285-6260
224 N 2nd St
Eldridge, IA 52748
Phone (319) 285-8334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06510 | IA | Yes |
Addresses
Primary practice location
224 North 2ND St
Eldridge, IA 52748
Mailing address
224 North 2ND St
Eldridge, IA 52748
Phone (563) 285-1414
Other providers in Eldridge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.