Active NPI
Jessica Jay Haug, D.C.
- Chiropractor
- Peoria, AZ
National Provider Identifier
1194046615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8147
- Practice address
- 13470 N 83Rd Ave Ste 302
Peoria, AZ 85381-4150 - Phone
- (623) 773-0300
- Fax
- (623) 773-0200
- NPI assigned
- Jun 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8147 | AZ | Primary |
Addresses
Primary practice location
13470 N 83Rd Ave Ste 302
Peoria, AZ 85381-4150
Mailing address
13470 N 83Rd Ave Ste 302
Peoria, AZ 85381-4150
Phone (623) 773-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13470 N 83Rd Ave
Suite 302
Peoria, AZ 85381-4150
Phone (623) 249-7141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMT Southwest Inc | Chiropractor | Current | Accepting new patients |
| Cornerstone Chiropractic Clinic, LLC | Chiropractor | Current | Accepting new patients |
Locations
13470 N 83rd Ave
Ste 302
Peoria, AZ 85381
Phone (623) 249-7141
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 and National Provider Directory roles.
-
- Chiropractor
- Peoria, AZ
- NPI 1699088815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1194046615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13470 N 83RD AVE STE 302",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814150",
"telephone_number": "623-773-0300",
"fax_number": "623-773-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13470 N 83RD AVE STE 302",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814150",
"telephone_number": "623-773-0300",
"fax_number": "623-773-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUG",
"first_name": "JESSICA",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.