Active NPI
Eileen Anne Driscoll-Norman, D.C.
- Chiropractor
- Kings Beach, CA
National Provider Identifier
1811901549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19103
- Practice address
- 8700 North Lake Blvd
Suite #3
Kings Beach, CA 96143 - Phone
- (530) 546-5190
- Fax
- (530) 546-5195
- NPI assigned
- Jul 28, 2006
- 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 | 19103 | CA | Primary |
Addresses
Primary practice location
8700 North Lake Blvd
Suite #3
Kings Beach, CA 96143
Mailing address
PO Box 2359
Kings Beach, CA 96143-2359
Phone (530) 546-5190
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19103 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1811901549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2359",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "961432359",
"telephone_number": "530-546-5190",
"fax_number": "530-546-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 NORTH LAKE BLVD",
"address_2": "SUITE #3",
"city": "KINGS BEACH",
"state": "CA",
"postal_code": "96143",
"telephone_number": "530-546-5190",
"fax_number": "530-546-5195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL-NORMAN",
"first_name": "EILEEN",
"middle_name": "ANNE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "19103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.