Individual provider Active NPI

Andrea Michelle Jossell, D.C.

  • Chiropractor
  • Munford, TN
National Provider Identifier
1336684083
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2957 Issued in TN
Practice address
76 Tabb Dr
Suite C
Munford, TN 38058-8611
Phone
(901) 840-2234
NPI assigned
Jan 4, 2017
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2957 TN Primary

Addresses

Primary practice location

76 Tabb Dr
Suite C
Munford, TN 38058-8611

Mailing address

76 Tabb Dr
Suite C
Munford, TN 38058-8611
Phone (901) 840-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170915000712 TN Practitioner - Chiropractic 4981978871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cannon Chiropractic, PLLC Chiropractor CurrentSince Jul 18, 2017 Accepting new patients

Locations

1129 S Dupree Ave
Ste 300
Brownsville, TN 38012
Phone (731) 585-9355

76 Tabb Dr
Munford, TN 38058
Phone (901) 840-2234

76 Tabb Dr
Ste C
Munford, TN 38058
Phone (901) 840-2234

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1336684083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 TABB DR",
            "address_2": "SUITE C",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380588611",
            "telephone_number": "901-840-2234",
            "fax_number": "901-840-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 TABB DR",
            "address_2": "SUITE C",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380588611",
            "telephone_number": "901-840-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSSELL",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munford, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.