Active NPI
Alana Jackson, CHIROPRACTER
- Chiropractor
- Bullhead City, AZ
National Provider Identifier
1154345007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7139
- Practice address
- 1708 El Cazador
Bullhead City, AZ 86442-7955 - Phone
- (928) 753-9225
- NPI assigned
- Jul 26, 2006
- 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 | 7139 | AZ | Primary |
Addresses
Primary practice location
1708 El Cazador
Bullhead City, AZ 86442-7955
Mailing address
PO Box 22698
Bullhead City, AZ 86439-2698
Phone (928) 753-9225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00100146 | Other | AZ | RAILROAD MEDICARE |
| AZ0155410 | Other | AZ | BLUE CROSSS BLUE SHIELD |
| 786080 | Other | AZ | AHCCCS |
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 |
|---|---|---|---|
| 7139 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis Enterprises LLC | Chiropractor | Past | Accepting new patients |
| Philip C Barnard DC PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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
- Bullhead City, AZ
- NPI 1154512200
-
- Chiropractor
- Bullhead City, AZ
- NPI 1730927856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1154345007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22698",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864392698",
"telephone_number": "928-753-9225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 EL CAZADOR",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864427955",
"telephone_number": "928-753-9225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ALANA",
"name_prefix": "Dr.",
"credential": "CHIROPRACTER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00100146",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSSS BLUE SHIELD",
"identifier": "AZ0155410",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "786080",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.