Active NPI
Jennifer Lynne Hasselbrook, D.C.
- Chiropractor
- Park City, UT
National Provider Identifier
1013118496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 57433611202
- Practice address
- 2078 Prospector Ave
Park City, UT 84060-7321 - Phone
- (435) 615-7971
- NPI assigned
- May 31, 2007
- 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 | 57433611202 | UT | Primary |
Addresses
Primary practice location
2078 Prospector Ave
Park City, UT 84060-7321
Mailing address
PO Box 683544
Park City, UT 84068-3544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57433611202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013118496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 683544",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840683544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2078 PROSPECTOR AVE",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840607321",
"telephone_number": "435-615-7971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSELBROOK",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "57433611202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.