Active NPI
Nicole Lynne Phipps, D.C.
- Chiropractor
- Rochester Hills, MI
National Provider Identifier
1912124165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007185
- Practice address
- 111 Rochdale Dr S Ste B
Rochester Hills, MI 48309-2274 - Phone
- (248) 652-8686
- Fax
- (248) 601-2933
- NPI assigned
- Apr 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007185 | MI | Primary |
Addresses
Primary practice location
111 Rochdale Dr S Ste B
Rochester Hills, MI 48309-2274
Mailing address
1288 Clear Creek Dr
Rochester Hills, MI 48306-3577
Phone (248) 652-2992
Other names 1
- Dr. Nicole Lynne Rainey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050520000123 | MI | Practitioner - Chiropractic | 0345281275 | Practice locations: Rochester Hills, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
332 W Tienken Rd
Suite C
Rochester Hills, MI 48306-4473
Phone (248) 677-2311
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301007185 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1912124165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 CLEAR CREEK DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483063577",
"telephone_number": "248-652-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ROCHDALE DR S STE B",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483092274",
"telephone_number": "248-652-8686",
"fax_number": "248-601-2933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "NICOLE",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "RAINEY",
"middle_name": "LYNNE",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.