Active NPI
Jennifer Ann Irwin, BS, DC
- Chiropractor
- Slidell, LA
National Provider Identifier
1366773392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1531
- Practice address
- 1901 Possum Hollow Rd Ste 100
Slidell, LA 70458-8303 - Phone
- (985) 646-0800
- Fax
- (985) 646-0801
- NPI assigned
- Jan 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1531 | LA | Primary |
Addresses
Primary practice location
1901 Possum Hollow Rd Ste 100
Slidell, LA 70458-8303
Mailing address
1901 Possum Hollow Rd Ste 100
Slidell, LA 70458-8303
Phone (985) 646-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1531 | LA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1366773392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 POSSUM HOLLOW RD STE 100",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704588303",
"telephone_number": "985-646-0800",
"fax_number": "985-646-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 POSSUM HOLLOW RD STE 100",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704588303",
"telephone_number": "985-646-0800",
"fax_number": "985-646-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "BS, DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
- Integrated Concierge, LLC
- Integrated Dermatology of Slidell LLC
- Intentional Hearts Health Services, LLC
- Interventional Pump Fusion, LLC
- Iph, Slidel LLC
- Iteld Bernstein and Associates LLC
- Bruce J Iteld, MD,FACC,FCCP,FSCAI
- Tara Lynn Ivankovich, LMSW
- J & G Transportation LLC
- Bartholomew Eric Jackson Sr., NURSE PRACTITIONER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.