PRAIRIELAND CHIROPRACTIC P C (NPI# 1235489048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235489048 |
| Entity Type | Organization |
| Organization Name | PRAIRIELAND CHIROPRACTIC P C |
| Practice Address |
133 W Main Ave Rockford IA 50468-7719 |
| Mailing Address |
133 W Main Ave P.o. Box 575 Rockford IA 50468-7719 |
| Practice Telephone | 6417563653 |
| Practice Fax Number | 6417563722 |
| Mailing Telephone | 6417563653 |
| Mailing Fax Number | 6417563722 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | DR. JEANNE RENEE STAUDT (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6417563740 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | A05231 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICARE PTAN | 41891 | 01 |
| IA | PALMETTO GBA PROV. NUMBER | P00070391 | 01 |
| IA | 1242305 | 05 | |
| IA | BC/BS PROVIDER NUMBER | 41891 | 01 |
| Street Address |
133 W MAIN AVE |
| City | ROCKFORD |
| State | IA |
| Zip Code | 50468-7719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821039942 | Jeanne Renee Staudt | Chiropractor | 133 W Main Ave, Rockford, IA 50468-7719 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1093165037 | Colin Devary | Physical Therapy Assistant | 110 2nd St Se, Rockford, IA 50468-1251 | 2016-06-21 |
| 1609881457 | North Iowa Mercy Clinics | Family Medicine | 702 E Main Ave, Rockford, IA 50468-1324 | 2006-07-30 |
| 1699251223 | Kimberly Ann Kuehner | Nurse Practitioner | 702 E Main Ave, Rockford, IA 50468-1324 | 2018-07-17 |
| 1831601335 | Bethany Grant | Nurse Practitioner | 702 E Main Ave, Rockford, IA 50468-1324 | 2017-10-25 |
| 1164854105 | Kimberely S Sarik | Nurse Practitioner | 702 E Main Ave, Rockford, IA 50468-1324 | 2013-08-01 |
| 1174539639 | Michael C Lindstrom | Family Medicine | 702 E Main Ave, Rockford, IA 50468-1324 | 2006-08-01 |
| 1154337632 | Lisa A Kapler | Family Medicine | 702 E Main Ave, Rockford, IA 50468-1324 | 2006-08-01 |
| 1053436758 | Rudd Rockford Marble Rock | Local Education Agency (LEA) | 1460 210th St, Rockford, IA 50468-8192 | 2007-03-20 |
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1477161966 | Trufant Chiropractic Center | Chiropractor | 11775 Cedar Rock Dr Ne Ste C, Rockford, MI 49341-8255 | 2020-07-21 |
| 1700405925 | James Robert Palmer IIi | Chiropractor | 863 S Perryville Rd, Rockford, IL 61108-4328 | 2020-04-09 |
| 1720613631 | Mario Nathaniel Rosales | Chiropractor | 818 Coolidge Pl, Rockford, IL 61107-3638 | 2020-03-11 |
| 1740840271 | Natalie Rose Richards | Chiropractor | 5875 E Riverside Blvd Ste 115, Rockford, IL 61114-4937 | 2019-06-17 |
| 1710449756 | Vitaliy Dobrogorskiy | Chiropractor | 4350 Morsay Dr, Rockford, IL 61107-4877 | 2019-04-01 |
| 1871008409 | Brad Johannsen | Chiropractor | 6769 Courtland Dr Ne Ste 100, Rockford, MI 49341-7243 | 2017-12-05 |
| 1245755867 | Lynch Chiropractic | Chiropractor | 3806 E State St Ste 101, Rockford, IL 61108-2057 | 2017-08-04 |
| 1871049692 | Nicole Theresa Giacopelli | Chiropractor | 6000 E State St Ste 201, Rockford, IL 61108-2521 | 2016-08-31 |
| 1396132692 | Kb Chiropractic Center, Inc. | Chiropractor | 2606 Broadway, Suite 1a, Rockford, IL 61108-5768 | 2015-04-24 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.