Jackie Lee Carolus, D.C.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

403 1St Ave
Perry, IA 50220-1902

Phone

(515) 465-3585

Fax

(515) 465-4651

NPI assigned

Feb 21, 2011

Last updated

May 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolus Chiropractic & Wellness Center

  • Chiropractor
  • Johnston, IA
  • NPI 1043503493
  NPD (past)
• Family Health & Wellness Center

  • Chiropractor
  • Perry, IA
  • NPI 1871931907
  NPD (past)

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1144527557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592442",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590172",
            "telephone_number": "515-494-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 1ST AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502201902",
            "telephone_number": "515-465-3585",
            "fax_number": "515-465-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLUS",
        "first_name": "JACKIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5355",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007416",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "IB2212002",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric M Ash, MD
• Tracey Lynn Bennett, RPH
• Britt Noel LLC
• Lydia Buckingham
• Burkenbine Family Chiropractic, PLLC
• Central Iowa Foot Clinic, P.C.
• Guadalupe Chavez
• Tanna Corrigan
• D & N Enterprises LTD (Medicap Pharmacy)
• Dallas County Hospital

• Electroneurodiagnostic Specialist/Technologist in Perry, IA
• Providers in Perry, IA by specialty
• Electroneurodiagnostic Specialist/Technologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.