Active NPI
Jessica Marie Christopherson, D.C.
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1023221652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5667
- Practice address
- 4730 S College Ave
Ste 103
Fort Collins, CO 80525-3700 - Phone
- (970) 226-6002
- NPI assigned
- May 8, 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 | 5667 | CO | Primary |
Addresses
Primary practice location
4730 S College Ave
Ste 103
Fort Collins, CO 80525-3700
Mailing address
4730 S College Ave
Ste 103
Fort Collins, CO 80525-3700
Phone (970) 226-6002
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 |
|---|---|---|---|
| 5667 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chrismo, Inc. | Chiropractor | Current | Accepting new patients |
Locations
4730 S College Ave
Ste 103
Fort Collins, CO 80525
Phone (970) 222-1379
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023221652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 S COLLEGE AVE",
"address_2": "STE 103",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253700",
"telephone_number": "970-226-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4730 S COLLEGE AVE",
"address_2": "STE 103",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253700",
"telephone_number": "970-226-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTOPHERSON",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
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.