Active NPI
Nancy N Holman, DC
- Chiropractor
- Saint Charles, IL
National Provider Identifier
1972664951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038006089
- Practice address
- 42W580 Empire Rd
FRNT 1
Saint Charles, IL 60175-8384 - Phone
- (630) 484-1975
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006089 | IL | Primary |
Addresses
Primary practice location
42W580 Empire Rd
FRNT 1
Saint Charles, IL 60175-8384
Mailing address
82 West 63Rd St
Willowbrook, IL 60527
Phone (630) 455-4210
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02215551 | Other | IL | BLUE CROSS |
| 038006089 | Other | IL | STATE LICENSE |
| P00229775 | Other | IL | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100818001189 | IL | Practitioner - Chiropractic | 1355475880 | Practice locations: Sugar Grove, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zary Chiropractic, LTD. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Willowbrook, IL
- NPI 1093968901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1972664951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 WEST 63RD ST",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "60527",
"telephone_number": "630-455-4210",
"fax_number": "630-455-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42W580 EMPIRE RD",
"address_2": "FRNT 1",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601758384",
"telephone_number": "630-484-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "NANCY",
"middle_name": "N",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038006089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "02215551",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "038006089",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00229775",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.