Janelle Provost, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

35035 Issued in CA

Practice address

1101 S Winchester Blvd Ste M257
San Jose, CA 95128-3904

Phone

(408) 502-6358

NPI assigned

Mar 31, 2021

Reactivated

Feb 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Janelle Slugoski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1124606140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MARIANNA WAY",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081801",
            "telephone_number": "669-770-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE M257",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283904",
            "telephone_number": "408-502-6358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Thomas Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950542063",
            "country_code": "US",
            "telephone_number": "408-359-3459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "JANELLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-26",
        "deactivation_date": "2021-12-16",
        "reactivation_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "SLUGOSKI",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pronurseregistery
• Prosper Health Medical Services West PC
• Tania Protsenko, MA IN COUNSELING PSY
• Beth Turner Proudfoot, LMFT
• Natalie Kristine Provenzano, D.D.S.
• Alysha Prum
• Chettra So Prum
• Phyllis Lynn Pryor
• Psychelogik Psychological, Inc.
• PT2 Physical & Sports Therapy Inc.

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.