Jen E Nelson DC PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7464 Issued in AZ

Legal business name

JEN E NELSON DC PLLC

Practice address

4645 S Lakeshore Dr Ste 5
Tempe, AZ 85282-7152

Phone

(480) 966-2258

Fax

(480) 966-2628

NPI assigned

Mar 21, 2011

Last updated

Jan 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennie E Nelson, D.C.NPI 1558312694

Title

Owner/Chiropractor

Phone

(480) 966-2258

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennie E Nelson, DC

  • Chiropractor
  • Tempe, AZ
  • NPI 1558312694
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1184923849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 S LAKESHORE DR STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827152",
            "telephone_number": "480-966-2258",
            "fax_number": "480-966-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 S LAKESHORE DR STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827152",
            "telephone_number": "480-966-2258",
            "fax_number": "480-966-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN E NELSON DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "480-966-2258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alema Jenkins
• Anna Jenkins
• Coquece Jenkins
• Haley Jenkins
• Sarah Anne Jenkins, MC, LPC

• Chiropractor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.