Active NPI
Jennifer Knuckles, DC
- Chiropractor
- Alba, TX
National Provider Identifier
1013787241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13091
- Practice address
- 169 E Holley St
Alba, TX 75410-2658 - Phone
- (972) 587-0101
- NPI assigned
- Jan 8, 2024
- 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 | 13091 | TX | Primary |
Addresses
Primary practice location
169 E Holley St
Alba, TX 75410-2658
Mailing address
PO Box 257
Alba, TX 75410-0257
Phone (858) 663-3288
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 |
|---|---|---|---|
| 13091 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1013787241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 257",
"city": "ALBA",
"state": "TX",
"postal_code": "754100257",
"telephone_number": "858-663-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 E HOLLEY ST",
"city": "ALBA",
"state": "TX",
"postal_code": "754102658",
"telephone_number": "972-587-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUCKLES",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alba, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.