Active NPI
Jennifer Heberle Barnes, D.C,
- Chiropractor
- Canandaigua, NY
National Provider Identifier
1003884115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007509-1
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109889AN | Other | NY | PREFERRED CARE |
| 5537039 | Other | NY | AETNA |
| P010007509 | Other | NY | EXCELLUS |
Other names 1
- Dr. Jennifer Lyn Heberle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 007509 | NY | MD | Psychologist |
| X007509-1 | NY | MD | Chiropractor |
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.