Christina Mae Mickelson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4032 Issued in MN

Practice address

30840 N Lakes TRL
Lindstrom, MN 55045-9497

Phone

(651) 257-9090

Fax

(651) 257-9090

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962529560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30840 N LAKES TRL",
            "city": "LINDSTROM",
            "state": "MN",
            "postal_code": "550459497",
            "telephone_number": "651-257-9090",
            "fax_number": "651-257-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30840 N LAKES TRL",
            "city": "LINDSTROM",
            "state": "MN",
            "postal_code": "550459497",
            "telephone_number": "651-257-9090",
            "fax_number": "651-257-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKELSON",
        "first_name": "CHRISTINA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "44-87206",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "69B47MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "V41199334276956",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael M Lukkason, PHARMD
• Sharon Ann Malecha
• Heather Martin
• Paul Eric Melby, MS
• Kimberly Merry
• Marc Joseph Myer, MD
• Nicole Nelson, PHARMD
• Oak Haven Counseling and Wellness LLC
• Anjali Grace White Reisdorf
• Rolseth Drug Co (Lindstrom Thrifty White)

• Chiropractor in Lindstrom, MN
• Providers in Lindstrom, MN by specialty
• Chiropractor in Minnesota

• 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.
• 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.