Active NPI
Rebecca Lee Ingle Holden, D.C.
- Chiropractor
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2151
- Practice address
- 4289 Bonny Oaks Dr Ste 107
Chattanooga, TN 37406 - Phone
- (423) 892-2717
- Fax
- (423) 892-9985
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIROO7953 | GA | |
| Chiropractor | 111N00000X | 2151 | TN | Primary |
Addresses
Primary practice location
4289 Bonny Oaks Dr Ste 107
Chattanooga, TN 37406
Mailing address
4289 Bonny Oaks Dr Ste 107
Chattanooga, TN 37406-1600
Phone (423) 892-2717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3670012 | Medicaid | TN | |
| 3670012 | Other | TN | MEDICARE ID-TYPE UNSPECIFIED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 S Moore Rd
Suite B
Chattanooga, TN 37412-2987
Phone (423) 894-4771
955 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3945
Phone (706) 866-7575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIROO7953 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health PLLC | Chiropractor | Current | Accepting new patients |
| Johnson Clinic of Chiropractic P.C. | Current | Accepting new patients | |
| Pray Chiropractic PC | Chiropractor | Past | Accepting new patients |
Locations
1423 W Walnut Ave
Ste 3
Dalton, GA 30720
Phone (706) 229-3993
955 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 866-7575
3742 Tennessee Ave
Ste 104
Chattanooga, TN 37409
Phone (423) 265-2225
400 S Moore Rd
Ste B
Chattanooga, TN 37412
Phone (423) 894-4771
400 S Moore Rd
Ste E
Chattanooga, TN 37412
Organizations & group practices 3
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.
-
- Orthopedic Chiropractor
- Ft. Oglethorpe, GA
- NPI 1598934309
-
- Chiropractor
- Ringgold, GA
- NPI 1699277616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1356400824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4289 BONNY OAKS DR STE 107",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374061600",
"telephone_number": "423-892-2717",
"fax_number": "423-892-9985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4289 BONNY OAKS DR STE 107",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37406",
"telephone_number": "423-892-2717",
"fax_number": "423-892-9985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "REBECCA",
"middle_name": "LEE INGLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIROO7953",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3670012",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "3670012",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.