NPIMap

Individual provider Active NPI

Jennifer Lynn Nienaber, D.C.

  • Chiropractor
  • Sherwood, OR
National Provider Identifier
1184709131
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273476 Issued in OR
Practice address
20508 SW Roy Rogers Rd
C-115
Sherwood, OR 97140-9319
Phone
(503) 906-3585
Fax
(503) 906-3586
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273476 OR Primary

Addresses

Primary practice location

20508 SW Roy Rogers Rd
C-115
Sherwood, OR 97140-9319

Mailing address

20508 SW Roy Rogers Rd
C-115
Sherwood, OR 97140-9319
Phone (503) 906-3585

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
273476ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sherwood Family Chiropractic Clinic Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184709131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20508 SW ROY ROGERS RD",
            "address_2": "C-115",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409319",
            "telephone_number": "503-906-3585",
            "fax_number": "503-906-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 SW ROY ROGERS RD",
            "address_2": "C-115",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409319",
            "telephone_number": "503-906-3585",
            "fax_number": "503-906-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENABER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.