Individual provider Active NPI

Jaime O Lemek, D.C.

  • Chiropractor
  • Tolland, CT
National Provider Identifier
1366760126
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001835 Issued in CT
Practice address
200 Merrow Rd
Unit K
Tolland, CT 06084-3416
Phone
(860) 875-1414
Fax
(860) 875-1422
NPI assigned
May 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001835 CT Primary

Addresses

Primary practice location

200 Merrow Rd
Unit K
Tolland, CT 06084-3416

Mailing address

200 Merrow Rd
Unit K
Tolland, CT 06084-3416
Phone (860) 875-1414

Other identifiers 2

IdentifierTypeStateIssuer
756179OtherCTOPTUM HEALTH SOLUTIONS
P5141028OtherCTUNITED HEALTHCARE-OXFORD

Other names 1

  • Dr. Jaime B Ouellette Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000554 CT Practitioner - Chiropractic 0840474482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30 Lafayette SQ
Suite 114
Vernon, CT 06066-4554
Phone (860) 875-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001835CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Center of Glastonbury, LLC Chiropractor PastSince Feb 20, 2011 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1366760126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERROW RD",
            "address_2": "UNIT K",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843416",
            "telephone_number": "860-875-1414",
            "fax_number": "860-875-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERROW RD",
            "address_2": "UNIT K",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843416",
            "telephone_number": "860-875-1414",
            "fax_number": "860-875-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMEK",
        "first_name": "JAIME",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH SOLUTIONS",
            "identifier": "756179",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE-OXFORD",
            "identifier": "P5141028",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "OUELLETTE",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tolland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.