Active NPI
Michelle Rebecca Severson, D.C.
- Chiropractor
- Rocky Mount, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556868
- Practice address
- 920 Tanyard Rd
Suite 102
Rocky Mount, VA 24151-1543 - Phone
- (540) 483-3678
- Fax
- (540) 483-3820
- NPI assigned
- Feb 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556868 | VA | Primary |
| Chiropractor | 111N00000X | DC010498 | PA |
Addresses
Primary practice location
920 Tanyard Rd
Suite 102
Rocky Mount, VA 24151-1543
Mailing address
920 Tanyard Rd
Suite G
Rocky Mount, VA 24151-1543
Phone (540) 483-4344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05545 | Other | VA | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
920 Tanyard Rd
Rocky Mount, VA 24151-1543
Phone (540) 483-4344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010498 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Touch Chiropractic & Wellness Inc | Chiropractor | Current | Accepting new patients |
| Tuck Chiropractic Corporation | Past | Accepting new patients | |
| Tuck Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Locations
920 Tanyard Rd
Ste 102
Rocky Mount, VA 24151
Phone (540) 483-3678
920 Tanyard Rd
Ste G
Rocky Mount, VA 24151
920 Tanyard Rd
Rocky Mount, VA 24151
Phone (540) 483-4344
Organizations & group practices 3
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.
-
- Chiropractor
- Rocky Mount, VA
- NPI 1295274439
-
dba Tuck Chiropractic Clinic
- Chiropractor
- Blacksburg, VA
- NPI 1003987769
-
dba Tuck WorkWell
- Family Medicine Physician
- Roanoke, VA
- NPI 1578155610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1780916122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 TANYARD RD",
"address_2": "SUITE G",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241511543",
"telephone_number": "540-483-4344",
"fax_number": "844-726-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 TANYARD RD",
"address_2": "SUITE 102",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241511543",
"telephone_number": "540-483-3678",
"fax_number": "540-483-3820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERSON",
"first_name": "MICHELLE",
"middle_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-10",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556868",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010498",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "C05545",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.