Individual provider Active NPI

Jacquelyn Ferguson Cole, DC

  • Chiropractor
  • Corpus Christi, TX
National Provider Identifier
1154359362
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4437 Issued in TX
Practice address
10235 S Padre Island Dr
Corpus Christi, TX 78418-4454
Phone
(361) 937-1215
Fax
(361) 937-1438
NPI assigned
Jun 28, 2006
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4437 TX Primary

Addresses

Primary practice location

10235 S Padre Island Dr
Corpus Christi, TX 78418-4454

Mailing address

2025 Flour Bluff Dr
Corpus Christi, TX 78418-5309
Phone (361) 937-1215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000175 TX Practitioner - Chiropractic 6709920689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacquelyn F Cole DC PCGroup PAC ID 4880739341, 2 clinicians

Practice addresses (Care Compare)

2025 Flour Bluff Dr
Corpus Christi, TX 78418-5309
Phone (361) 937-1215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jacquelyn F. Cole, DC, PC Chiropractor CurrentSince Sep 5, 1989 Accepting new patients

Locations

2025 Flour Bluff Dr
Corpus Christi, TX 78418
Phone (361) 937-1215

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1154359362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 FLOUR BLUFF DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185309",
            "telephone_number": "361-937-1215",
            "fax_number": "361-937-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10235 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784184454",
            "telephone_number": "361-937-1215",
            "fax_number": "361-937-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JACQUELYN",
        "middle_name": "FERGUSON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.