Individual provider Active NPI

Jamie Osbon-McCullars, D.C.

  • Chiropractor
  • West Monroe, LA
National Provider Identifier
1255745527
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1673 Issued in LA
Practice address
506 Wood St
West Monroe, LA 71291-3222
Phone
(318) 789-2302
Fax
(318) 855-6562
NPI assigned
Jun 16, 2014
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1673 LA Primary

Addresses

Primary practice location

506 Wood St
West Monroe, LA 71291-3222

Mailing address

200 Mallard Ave
West Monroe, LA 71291-2348
Phone (318) 789-2302

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

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1255745527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MALLARD AVE",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912348",
            "telephone_number": "318-789-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 WOOD ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913222",
            "telephone_number": "318-789-2302",
            "fax_number": "318-855-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBON-MCCULLARS",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.