Individual provider Active NPI

Elaine Lois Baudoin, DC

  • Chiropractor
  • Hastings, MN
National Provider Identifier
1942416094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1118 Issued in MN
Practice address
3540 Red Wing Blvd
Hastings, MN 55033-3948
Phone
(651) 437-9246
NPI assigned
May 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1118 MN Primary

Addresses

Primary practice location

3540 Red Wing Blvd
Hastings, MN 55033-3948

Mailing address

3540 Red Wing Blvd
Hastings, MN 55033-3948
Phone (651) 437-9246

Other identifiers 1

IdentifierTypeStateIssuer
3K906OtherMNBA BCBS

Other names 1

  • Elaine L Baudoin Professional name

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

State licenses

LicenseStateTypeSpecialty
1118MNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942416094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 RED WING BLVD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333948",
            "telephone_number": "651-437-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 RED WING BLVD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333948",
            "telephone_number": "651-437-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDOIN",
        "first_name": "ELAINE",
        "middle_name": "LOIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BA BCBS",
            "identifier": "3K906",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "BAUDOIN",
            "middle_name": "L",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.