Lynnsey Nicole Jepsen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5238 Issued in MN

Practice address

13635 Northdale Blvd
Rogers, MN 55374-2142

Phone

(612) 968-7200

NPI assigned

Jul 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willow Creek Chiropractic, PA

  • Chiropractor
  • Shoreview, MN
  • NPI 1831278449
  Medicare reassignment NPD
• Advanced Chiropractic Health PA

  • Chiropractor
  • Plymouth, MN
  • NPI 1568679264
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1801025044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13635 NORTHWOOD BLVD",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553740660",
            "telephone_number": "763-428-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13635 NORTHDALE BLVD",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553742142",
            "telephone_number": "612-968-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "LYNNSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Catherine Heen Johnson, PHARM D
• Madeline Baker Johnson, MA, LPCC
• Mariah Jane Johnson, RDN, LD

• Chiropractor in Rogers, MN
• Providers in Rogers, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.