Individual provider Active NPI

Julie Lancellotti, DC

  • Chiropractor
  • Johnston, RI
National Provider Identifier
1912443557
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00669 Issued in RI
Practice address
1524 Atwood Ave Ste 210a
Johnston, RI 02919-3228
Phone
(401) 274-9355
Fax
(401) 455-0290
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00669 RI Primary

Addresses

Primary practice location

1524 Atwood Ave Ste 210a
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave Ste 210a
Johnston, RI 02919-3228
Phone (401) 274-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730001894 RI Practitioner - Chiropractic 3971867029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Chiropractic Pain Control Clinic, Inc.Group PAC ID 6103910450, 4 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 210a
Johnston, RI 02919-3228
Phone (401) 274-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCP00669RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Chiropractic Pain Control Clinic, Inc. Chiropractor CurrentSince Jul 17, 2019 Accepting new patients
Advanced Spine Centers of Ri Chiropractor Past Accepting new patients

Locations

586 Dexter St
Central Falls, RI 02863
Phone (401) 729-4500

197 Taunton Ave
Ste 201
East Providence, RI 02914
Phone (401) 435-4999

1524 Atwood Ave
Ste 210A
Johnston, RI 02919
Phone (401) 274-9355

371 Broadway
Providence, RI 02909
Phone (401) 274-5100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1912443557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 210A",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-274-9355",
            "fax_number": "401-455-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 210A",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-274-9355",
            "fax_number": "401-455-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCELLOTTI",
        "first_name": "JULIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.

Verify at the official NPI Registry.