Individual provider Active NPI

Paula Marie Jones, D.C.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1033396106
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8001827A Issued in IN
Practice address
14074 Trade Center Dr
Suite 136
Fishers, IN 46038-4563
Phone
(317) 410-4242
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8001827A IN Primary
Chiropractor 111N00000X 009084 NY

Addresses

Primary practice location

14074 Trade Center Dr
Suite 136
Fishers, IN 46038-4563

Mailing address

14074 Trade Center Dr
Suite 136
Fishers, IN 46038-4563
Phone (317) 410-4242

Other names 1

  • Dr. Paula Marie Fuccillo Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8001827AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Pain and Injury Centers LLC CurrentSince Jan 20, 2020 Accepting new patients

Locations

5135 S Emerson Ave
Ste C
Indianapolis, IN 46237
Phone (317) 991-5710

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1033396106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR",
            "address_2": "SUITE 136",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384563",
            "telephone_number": "317-410-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR",
            "address_2": "SUITE 136",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384563",
            "telephone_number": "317-410-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "8001827A",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "FUCCILLO",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.