Individual provider Active NPI

Jennifer Heberle Barnes, D.C,

  • Chiropractor
  • Canandaigua, NY
National Provider Identifier
1003884115
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007509-1 Issued in NY
Practice address
243 Center St
Suite 2
Canandaigua, NY 14424-2101
Phone
(585) 394-3420
Fax
(585) 394-3675
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007509-1 NY Primary

Addresses

Primary practice location

243 Center St
Suite 2
Canandaigua, NY 14424-2101

Mailing address

243 Center St
Suite 2
Canandaigua, NY 14424-2101
Phone (585) 394-3420

Other identifiers 3

IdentifierTypeStateIssuer
109889ANOtherNYPREFERRED CARE
5537039OtherNYAETNA
P010007509OtherNYEXCELLUS

Other names 1

  • Dr. Jennifer Lyn Heberle Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090102000420 NY Practitioner - Chiropractic 0345302188 Practice locations: Canandaigua, NY; Macedon, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

243 Ctr St
Suite 2
Canandaigua, NY 14424-2049

243 Ctr St
Suite 2
Canandaigua, NY 14424-2101
Phone (585) 394-3420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007509NYMDPsychologist
X007509-1NYMDChiropractor

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1003884115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CENTER ST",
            "address_2": "SUITE 2",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242101",
            "telephone_number": "585-394-3420",
            "fax_number": "585-394-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CENTER ST",
            "address_2": "SUITE 2",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242101",
            "telephone_number": "585-394-3420",
            "fax_number": "585-394-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JENNIFER",
        "middle_name": "HEBERLE",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007509-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "109889AN",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5537039",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P010007509",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HEBERLE",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.