Active NPI
Kimberly L Jefferson, D.C.
- Chiropractor
- Greenwood, MS
National Provider Identifier
1053647180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1146
- Practice address
- 1707 Strong Ave
Suite a
Greenwood, MS 38930-3923 - Phone
- (662) 453-2250
- Fax
- (662) 453-2280
- NPI assigned
- Oct 23, 2009
- 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 | 1146 | MS | Primary |
Addresses
Primary practice location
1707 Strong Ave
Suite a
Greenwood, MS 38930-3923
Mailing address
PO Box 1661
Greenwood, MS 38935-1661
Phone (662) 453-2250
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1053647180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1661",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389351661",
"telephone_number": "662-453-2250",
"fax_number": "662-453-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 STRONG AVE",
"address_2": "SUITE A",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389303923",
"telephone_number": "662-453-2250",
"fax_number": "662-453-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "KIMBERLY",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-23",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.