Kerri Michelle Jacobson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011011 Issued in PA

Practice address

911 Westminster Dr Ste 7
Williamsport, PA 17701-3900

Phone

(570) 447-4473

NPI assigned

May 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sky Chiropractic and Applied Kinesiology

  • Chiropractor
  • Williamsport, PA
  • NPI 1215682885
  NPD Authorized official

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1245617778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 WASHINGTON BLVD STE A",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013633",
            "telephone_number": "570-567-7765",
            "fax_number": "570-567-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WESTMINSTER DR STE 7",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013900",
            "telephone_number": "570-447-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "KERRI",
        "middle_name": "MICHELLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Jackson, OTA/L
• Stephen Jacob
• Brad Jacobs, CRNA. DNP
• Wayne R Jacobs Jr.
• Jacobson Paulhamus DDS PC
• Stephanie James, BA
• Jamie Plocinski LCSW
• Honora Jankowski
• Alison Jarrett, AU.D.
• Eric Jarrett, OD

• Chiropractor in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.