Lifespan Chiropractic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3437 Issued in MN

Legal business name

LIFESPAN CHIROPRACTIC PA

Practice address

7493 147TH St W
Suite 203
Apple Valley, MN 55124-4505

Phone

(952) 432-4222

Fax

(952) 432-4225

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Katy Jean Heilman, D.C.NPI 1942427059

Title

President

Phone

(952) 432-4222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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

• Katy Jean Heilman, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1942427059
  Medicare reassignment NPD Authorized official
• Joel Alan Fenske, DC

  • Chiropractor
  • Farmington, MN
  • NPI 1841317013
  NPD
• Annie Lee Mickelson, D.C.

  • Chiropractor
  • Sarasota, FL
  • NPI 1053680991
  NPD

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1770864431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7493 147TH ST W",
            "address_2": "SUITE 203",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244505",
            "telephone_number": "952-432-4222",
            "fax_number": "952-432-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7493 147TH ST W",
            "address_2": "SUITE 203",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244505",
            "telephone_number": "952-432-4222",
            "fax_number": "952-432-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "HEILMAN",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-432-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "3437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7815204-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Lewis
• Leah Leyk, MA, LPCC
• Charles C Li, MD
• Liberty Physical Therapy LLC
• Kathleen J Lietzau, APCNS
• Lifeway Chiropractic and Wellness LLC
• Limitless Minds Center
• Lisa J Lindner
• Live Healthy PA
• Lobash Chiropractic Clinic PLLC

• Clinic/Center in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.