Individual provider Active NPI

Jennifer Melissa Feeney, DC

  • Chiropractor
  • Uncasville, CT
National Provider Identifier
1174618201
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001715 Issued in CT
Practice address
2020 Norwich New London Tpke Unit 9
Uncasville, CT 06382-1374
Phone
(203) 470-5038
Fax
(860) 892-8151
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 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 001715 CT Primary

Addresses

Primary practice location

2020 Norwich New London Tpke Unit 9
Uncasville, CT 06382-1374

Mailing address

2020 Norwich New London Tpke Unit 9
Uncasville, CT 06382-1374
Phone (860) 892-8122

Other names 1

  • Dr. Jennifer Melissa Swiatowicz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Uncasville

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000402 CT Practitioner - Chiropractic 9436257128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 Norwich New London Tpke
Unit 9
Uncasville, CT 06382-1374
Phone (203) 470-5038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001715CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Norwich Chiropractic, PLLC Chiropractor CurrentSince Apr 11, 2020 Accepting new patients
Totalvision Eye Health Center LLC Past Accepting new patients
Lynn Carnaroli Chiropractic Center of Norwich Chiropractor PastSince Dec 23, 2011 Accepting new patients

Locations

2020 Norwich New London Tpke
Unit 9
Uncasville, CT 06382
Phone (203) 470-5038

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1174618201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NORWICH NEW LONDON TPKE UNIT 9",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821374",
            "telephone_number": "860-892-8122",
            "fax_number": "860-892-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NORWICH NEW LONDON TPKE UNIT 9",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821374",
            "telephone_number": "203-470-5038",
            "fax_number": "860-892-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "JENNIFER",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Uncasville",
            "affiliation": "N",
            "endpointDescription": "Uncasville",
            "address_1": "2020 Norwich New London Tpke Unit 9",
            "city": "Uncasville",
            "state": "CT",
            "country_code": "US",
            "postal_code": "063821374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SWIATOWICZ",
            "middle_name": "MELISSA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uncasville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.