Jessica Cortellino, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0000972 Issued in DE

Practice address

1010 N Bancroft Pkwy Ste 102
Wilmington, DE 19805-2690

Phone

(302) 543-5679

Fax

(302) 691-7657

NPI assigned

May 17, 2018

Last updated

May 17, 2018By 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 DE

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pure Wellness, LLCGroup PAC ID 6002971280, 4 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.

• Pure Wellness, LLC

  • Chiropractor
  • Newark, DE
  • NPI 1790938330
  Medicare reassignment Care Compare group NPD
• Pure Wellness of Middletown, LLC

  • Chiropractor
  • Middletown, DE
  • NPI 1902382906
  Medicare reassignment NPD
• Pure Wellness of Milford, LLC

  • Chiropractor
  • Milford, DE
  • NPI 1275407744
  Medicare reassignment NPD
• Pure Wellness of Smyrna, LLC

  • Chiropractor
  • Smyrna, DE
  • NPI 1295060622
  Medicare reassignment NPD
• Pure Wellness of Wilmington, LLC

  • Chiropractor
  • Wilmington, DE
  • NPI 1770866378
  Medicare reassignment NPD
• Pure Wellness of Camden, LLC

  • Chiropractor
  • Dover, DE
  • NPI 1386398352
  NPD (past)

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1295225035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 KILLENS POND RD",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199522534",
            "telephone_number": "302-382-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY STE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-543-5679",
            "fax_number": "302-691-7657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Stanton Christiana Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132132",
            "country_code": "US",
            "telephone_number": "302-365-5470",
            "fax_number": "302-365-6167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 S Carter Rd Unit 5",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "DE",
            "postal_code": "199777754",
            "country_code": "US",
            "telephone_number": "302-389-8915",
            "fax_number": "302-389-8916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTELLINO",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L Corradetti, CRNP
• Sandra Corraliza
• Steven Correa, DPT
• Jacqueline Kennedy Corsini, MS, NCC
• Krista Ann Corson, M.A., BCBA
• Gabriela Cortina
• Ellen Cosby, CRNA
• Joanna Costa, MD
• Jaclyn Marie Costantino, R.D.
• Michelle Costello, LPCMH

• Chiropractor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.