Individual provider Active NPI

Amy Elizabeth Hippard, D.C.

  • Chiropractor
  • Belvidere, IL
National Provider Identifier
1932547189
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012638 Issued in IL
Practice address
998 Belvidere Rd Ste 3
Belvidere, IL 61008-9360
Phone
(231) 590-0147
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 038.012638 IL Primary

Addresses

Primary practice location

998 Belvidere Rd Ste 3
Belvidere, IL 61008-9360

Mailing address

998 Belvidere Rd Ste 3
Belvidere, IL 61008-9360
Phone (231) 590-0147

Other practice location 1

1121 Jackson St NE
Minneapolis, MN 55413-1672
Phone (231) 590-0147

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613001806 TN Practitioner - Chiropractic 8426290909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Corrective Chiropractic KnoxvilleGroup PAC ID 2466995881, 2 clinicians

Practice addresses (Care Compare)

4405 Central Ave Pike
Suite 102
Knoxville, TN 37912-4078
Phone (865) 315-7479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3291TNMDPsychologist
038.012638ILMDChiropractor
5812MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Chiropractic LLC Chiropractor CurrentSince Mar 12, 2024 Accepting new patients
Corrective Chiropractic Knoxville Chiropractor CurrentSince Mar 12, 2024 Accepting new patients

Locations

5400 Clinton Hwy
Ste 105
Knoxville, TN 37912
Phone (865) 315-7479

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932547189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 BELVIDERE RD STE 3",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089360",
            "telephone_number": "231-590-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 BELVIDERE RD STE 3",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089360",
            "telephone_number": "231-590-0147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 Jackson St NE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554131672",
            "country_code": "US",
            "telephone_number": "231-590-0147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIPPARD",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.