Individual provider Active NPI

Michele R. Lancellotti, D.C.

  • Chiropractor
  • East Providence, RI
National Provider Identifier
1962571851
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00290 Issued in RI
Practice address
197 Taunton Ave
Suite 201
East Providence, RI 02914-4540
Phone
(401) 435-4999
Fax
(401) 434-7772
NPI assigned
Nov 7, 2006
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00290 RI Primary

Addresses

Primary practice location

197 Taunton Ave
Suite 201
East Providence, RI 02914-4540

Mailing address

1524 Atwood Ave
Ste 210a
Johnston, RI 02919-3228
Phone (401) 435-4999

Other identifiers 4

IdentifierTypeStateIssuer
4400192OtherRIUNITED HEALTHCARE
401255OtherRIBLUE CHIP
77879OtherRIBLUE CROSS BLUE SHIELD
646696OtherRIACN GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000446 RI Practitioner - Chiropractic 6002900354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1988
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 210
Johnston, RI 02919-3228

197 Taunton Ave
Suite 201
East Providence, RI 02914-4540
Phone (401) 435-4999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Chiropractic Pain Control Clinic, Inc. Chiropractor CurrentSince Aug 1, 2003 Accepting new patients
Advanced Spine Centers of Ri Chiropractor PastSince Aug 1, 2003 Accepting new patients

Locations

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1962571851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "STE 210A",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-435-4999",
            "fax_number": "401-434-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 TAUNTON AVE",
            "address_2": "SUITE 201",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144540",
            "telephone_number": "401-435-4999",
            "fax_number": "401-434-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCELLOTTI",
        "first_name": "MICHELE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400192",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "401255",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "77879",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "646696",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.