ROOTED IN WELLNESS CHIROPRACTIC LLC (NPI# 1528608957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528608957 |
| Entity Type | Organization |
| Organization Name | ROOTED IN WELLNESS CHIROPRACTIC LLC |
| Practice Address |
7001 A St Ste 100 Lincoln NE 68510-4205 |
| Practice Telephone | 4024886100 |
| Practice Fax Number | 4024886210 |
| Mailing Telephone | 4024886100 |
| Mailing Fax Number | 4024886210 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | DR. MOLLY M TILLMAN (OWNER) |
| Authorized Official Telephone | 9136091227 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | CHIROPRACTIC LICENSE | 1852 | 01 |
| Street Address |
7001 A ST STE 100 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487679163 | R Samuel Bryant | Plastic Surgery | 7001 A St Ste 100, Lincoln, NE 68510-4205 | 2006-07-13 |
| 1427497205 | Molly Tillman | Chiropractor | 7001 A St Ste 100, Lincoln, NE 68510-4205 | 2013-06-14 |
| 1881919983 | R. Samuel Bryant Md PC | Plastic Surgery | 7001 A St Ste 100, Lincoln, NE 68510-4205 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| 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 |
|---|---|---|---|---|
| 1982228524 | Denison J Salisbury | Chiropractor | 3121 South 11th St, Lincoln, NE 68502 | 2020-05-29 |
| 1124642863 | The Body Lab, LLC | Chiropractor | 1415 Dahlberg Dr Ste A, Lincoln, NE 68512-9266 | 2020-05-28 |
| 1447879515 | Nodak Chiropractic and Acupuncture LLC | Chiropractor | 2730 Paintball Way Bldg B, Lincoln, ND 58504-2503 | 2020-04-09 |
| 1235776550 | Healthfirst Lincoln Inc | Chiropractor | 2200 N Kickapoo St Ste 2, Lincoln, IL 62656-1390 | 2019-12-05 |
| 1447712757 | Novo Chiropractic LLC | Chiropractor | 8601 S 30th St Ste 108, Lincoln, NE 68516-5957 | 2019-04-04 |
| 1003380775 | Dustin Hadley Smith | Chiropractor | 4220 Lucile Dr Ste 2, Lincoln, NE 68506-6004 | 2019-01-16 |
| 1720569866 | Zoann Alexis Mader | Chiropractor | 7555 S 57th St Ste 2, Lincoln, NE 68516-6663 | 2018-08-27 |
| 1639657240 | Lindsey Christine Decker | Chiropractor | 292 S 65 Hwy, Lincoln, MO 65338-2587 | 2018-08-06 |
| 1679050371 | Troy Charles Hayes | Chiropractor | 8550 Andermatt Dr Ste 2, Lincoln, NE 68526-9781 | 2018-07-25 |
| 1235616442 | Vinay Panchal | Chiropractor | 3121 S 11th St, Lincoln, NE 68502-4416 | 2018-07-20 |
| Find all providers in LINCOLN | ||||
Please comment or provide details below to improve the information on ROOTED IN WELLNESS CHIROPRACTIC LLC.
| 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.