Jazmin Isdale, DC

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

14655 Issued in TX

Practice address

4207 Adagio PL
Round Rock, TX 78681-1689

Phone

(530) 966-2557

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1205415742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 ADAGIO PL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811689",
            "telephone_number": "530-966-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 ADAGIO PL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811689",
            "telephone_number": "530-966-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISDALE",
        "first_name": "JAZMIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "14655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jisdale@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Residence",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "an email",
            "address_1": "4207 Adagio Pl",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786811689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle A Irvin, MD
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• Pamela Irwin, BCBA
• Travis Scott Isbell, MD
• Bindhu Issac, DPT
• Itachico, PLLC
• Itox, LLC
• John Boyce Ivers, PHARMACIST
• Susan K Ivester, RD,LD

• Pediatric Chiropractor in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Pediatric Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.