Jennifer Lynn Drury, D.C.
Individual provider Active NPI Chiropractor · Bloomsdale, MO
NPI 1124244645 · NPPES record last updated Feb 12, 2014
Key facts
- NPI
- 1124244645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2006037923 (MO)
- Practice address
- 37 Meyer LN
Bloomsdale, MO 63627-9138 - Phone
- (573) 483-3733
- Fax
- (573) 483-3735
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
37 Meyer LN
Bloomsdale, MO 63627-9138
Phone (573) 483-3733
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070803000231 | MO | Practitioner - Chiropractic | 9739270844 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006037923 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drury Chiropractic and Family Wellness LLC | Chiropractor | Current |
Accepting new patients |
| Buchheit Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
37 Meyer Ln
Bloomsdale, MO 63627
Phone (573) 483-3733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2006037923 | MO | Yes |
Addresses
Primary practice location
37 Meyer LN
Bloomsdale, MO 63627-9138
Mailing address
37 Meyer LN
P.O. Box 197
Bloomsdale, MO 63627-9138
Phone (573) 483-3733
NPI Registry JSON
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1124244645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MEYER LN",
"address_2": "P.O. BOX 197",
"city": "BLOOMSDALE",
"state": "MO",
"postal_code": "636279138",
"telephone_number": "573-483-3733",
"fax_number": "573-483-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 MEYER LN",
"city": "BLOOMSDALE",
"state": "MO",
"postal_code": "636279138",
"telephone_number": "573-483-3733",
"fax_number": "573-483-3735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRURY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2006037923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomsdale, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.