Jessica Ellen Roan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3015 Issued in MA

Practice address

800 Providence Rd
Whitinsville, MA 01588-2125

Phone

(508) 234-8222

Fax

(508) 234-7558

NPI assigned

Jan 22, 2007

Last updated

Jul 16, 2015By the provider in NPPES

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 MA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Health Center LLCGroup PAC ID 4284970799, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Health Center, LLC

  • Chiropractor
  • Whitinsville, MA
  • NPI 1154835551
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1275687931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SANDSTONE DR",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751252",
            "telephone_number": "508-238-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PROVIDENCE RD",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882125",
            "telephone_number": "508-234-8222",
            "fax_number": "508-234-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROAN",
        "first_name": "JESSICA",
        "middle_name": "ELLEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pragmatic Minds LLC (Pragmatic Minds)
• Tanner Paul Provencher
• Kaitlyn Pryor
• RB Dental , LLC
• Resilient Growth and Wellness PLLC
• Katherine Rondina
• Russell & Jane Fradkin LLC
• Lisa Ryan, RN
• Jennifer Ryder
• Raquel R Sabatino, LPN

• Chiropractor in Whitinsville, MA
• Providers in Whitinsville, MA by specialty
• Chiropractor in Massachusetts

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