Active NPI
Nancy Terese Engelhardt, DC
- Chiropractor
- Mediapolis, IA
National Provider Identifier
1811042617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A06153
- Practice address
- 525 B Wapello St S
Mediapolis, IA 52637 - Phone
- (319) 394-9601
- NPI assigned
- Jan 24, 2007
- Last updated
- Dec 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A06153 | IA | Primary |
Addresses
Primary practice location
525 B Wapello St S
Mediapolis, IA 52637
Mailing address
PO Box 366
Mediapolis, IA 52637
Phone (319) 394-9601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01847 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0192013 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197676800000",
"number": "1811042617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366",
"city": "MEDIAPOLIS",
"state": "IA",
"postal_code": "52637",
"telephone_number": "319-394-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 B WAPELLO ST S",
"city": "MEDIAPOLIS",
"state": "IA",
"postal_code": "52637",
"telephone_number": "319-394-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELHARDT",
"first_name": "NANCY",
"middle_name": "TERESE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A06153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01847",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0192013",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mediapolis, IA
- Bradley Gordon Bork, DDS
- Brenda Ann Campbell, D.C.
- Carruthers Pharmacy PC (Carruthers Pharmacy)
- Community Ambulance Service for Northern Des Moines County
- Whitney Elizabeth Eberhardt, PT, DPT
- Five Star Quality Care Ia LLC (Prairie Ridge Care & Rehabilitation)
- Kimberly Krieger, NP
- Dawn Marie Lero, CFCS-HDFS
- Sarah Nicole McVey, OTR/L
- Mediapolis Care Facility Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.