Individual provider Active NPI

Jacqulyn L Nygren, D.C.

  • Chiropractor
  • Pittsboro, NC
National Provider Identifier
1043495799
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3694 Issued in NC
Practice address
120 Lowes Dr
Ste 105
Pittsboro, NC 27312-8306
Phone
(919) 642-0555
Fax
(919) 642-0556
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3694 NC Primary

Addresses

Primary practice location

120 Lowes Dr
Ste 105
Pittsboro, NC 27312-8306

Mailing address

120 Lowes Dr
Suite 105
Pittsboro, NC 27312-8306
Phone (919) 642-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080916000142 NC Practitioner - Chiropractic 1254408388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Spine Specialists PLLCGroup PAC ID 5991173676, 4 clinicians

Practice addresses (Care Compare)

141 Chatham Downs Dr
Suite 204
Chapel Hill, NC 27517-6118
Phone (919) 969-0931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3694NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Spine Specialists PLLC Chiropractor CurrentSince Aug 26, 2024 Accepting new patients

Locations

141 Chatham Downs Dr
Ste 204
Chapel Hill, NC 27517
Phone (919) 851-6740

1016 Thompson St
#J
Pittsboro, NC 27312
Phone (919) 642-0555

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": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1043495799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LOWES DR",
            "address_2": "SUITE 105",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128306",
            "telephone_number": "919-642-0555",
            "fax_number": "919-642-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LOWES DR",
            "address_2": "STE 105",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273128306",
            "telephone_number": "919-642-0555",
            "fax_number": "919-642-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGREN",
        "first_name": "JACQULYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.

Verify at the official NPI Registry.