Individual provider Active NPI

Jennifer Jinus Tinoosh, DC

  • Chiropractor
  • Lynchburg, VA
National Provider Identifier
1174614598
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555610 Issued in VA
Practice address
18853 Forest Rd
Lynchburg, VA 24502-4485
Phone
(434) 316-0100
Fax
(434) 316-0103
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555610 VA Primary

Addresses

Primary practice location

18853 Forest Rd
Lynchburg, VA 24502-4485

Mailing address

18853 Forest Rd
Lynchburg, VA 24502-4485
Phone (434) 316-0100

Other identifiers 2

IdentifierTypeStateIssuer
7212157002OtherVACIGNA
257720OtherVAANTHEM

Other names 1

  • Ms. Jinoos Jenny Tinoosh Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090130000239 VA Practitioner - Chiropractic 6103980537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18853 Forest Rd
Lynchburg, VA 24502-4464
Phone (434) 316-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104555610VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro-Med Health Center Inc Chiropractor CurrentSince Jul 1, 1999 Accepting new patients
Family Preservation Services LLC Past Accepting new patients

Locations

18321 Forest Rd
Lynchburg, VA 24502
Phone (434) 316-0100

18853 Forest Rd
Lynchburg, VA 24502
Phone (434) 316-0100

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, 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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1174614598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18853 FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024485",
            "telephone_number": "434-316-0100",
            "fax_number": "434-316-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18853 FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024485",
            "telephone_number": "434-316-0100",
            "fax_number": "434-316-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINOOSH",
        "first_name": "JENNIFER",
        "middle_name": "JINUS",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7212157002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "257720",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JINOOS",
            "last_name": "TINOOSH",
            "middle_name": "JENNY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.