Jenny Michelle Hettich, D.C.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

6078 Issued in CO

Practice address

263 2ND Ave
Suite 100a
Niwot, CO 80544

Phone

(303) 652-9200

Fax

(303) 652-9202

NPI assigned

Oct 28, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clouds Rest Chiropractic, Inc

  • Health Service Clinic/Center
  • Niwot, CO
  • NPI 1245483007
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1346493020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805440763",
            "telephone_number": "303-652-9200",
            "fax_number": "303-652-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 2ND AVE",
            "address_2": "SUITE 100A",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "80544",
            "telephone_number": "303-652-9200",
            "fax_number": "303-652-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTICH",
        "first_name": "JENNY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CO",
            "license": "6078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Goodman
• Darcy Antonie Greenwald, L.AC
• Shari M Hardies III, LCSW
• Andy Colby Harmon, D.C.
• Harmony Physical Therapy, Inc
• Influence Healthcare, LLC
• Orrin K Johnson, MA, LPCC
• Carey Kauffman
• Courtney Ann Kempf, MA. CF-SLP
• Neda L Leonard, PHARM.D.

• Pediatric Chiropractor in Niwot, CO
• Providers in Niwot, CO by specialty
• Pediatric Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.