Individual provider Active NPI

Jeannique Norbert, D.C

  • Chiropractor
  • Lakeway, TX
National Provider Identifier
1255713673
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12966 Issued in TX
Practice address
1202 Lakeway Dr
Suite 14
Lakeway, TX 78734-4473
Phone
(214) 697-0515
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12966 TX Primary
Pediatric Chiropractor 111NP0017X 12966 TX

Addresses

Primary practice location

1202 Lakeway Dr
Suite 14
Lakeway, TX 78734-4473

Mailing address

2306 Pipit CT
Cedar Park, TX 78613-4330
Phone (214) 697-0515

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12966TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1255713673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 PIPIT CT",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134330",
            "telephone_number": "214-697-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 LAKEWAY DR",
            "address_2": "SUITE 14",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344473",
            "telephone_number": "214-697-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBERT",
        "first_name": "JEANNIQUE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12966",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "12966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.