Active NPI
Jessica A Fleming, DC
- Chiropractor
- Lincoln, NE
National Provider Identifier
1073743720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1637
- Practice address
- 4130 Pioneer Woods Dr
Ste 3
Lincoln, NE 68506-7552 - Phone
- (402) 261-6841
- Fax
- (402) 261-6843
- NPI assigned
- Jul 15, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011251 | IL | |
| Chiropractor | 111N00000X | 1637 | NE | Primary |
Addresses
Primary practice location
4130 Pioneer Woods Dr
Ste 3
Lincoln, NE 68506-7552
Mailing address
4130 Pioneer Woods Dr Ste 3
Lincoln, NE 68506-7552
Phone (402) 261-6841
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1637 | Other | NE | LICENSE |
| 038011251 | Other | IL | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038011251 | IL | MD | Chiropractor |
| 1637 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olson Family Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Lincoln, NE
- NPI 1275795171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1073743720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 PIONEER WOODS DR STE 3",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067552",
"telephone_number": "402-261-6841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 PIONEER WOODS DR",
"address_2": "STE 3",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067552",
"telephone_number": "402-261-6841",
"fax_number": "402-261-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011251",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1637",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "038011251",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.