Individual provider Active NPI

Jamie Michelle Engel, D.C.

  • Chiropractor
  • Beverly, MA
National Provider Identifier
1376799189
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3199 Issued in MA
Practice address
315 Rantoul St
Units 317 & 319
Beverly, MA 01915-4331
Phone
(818) 438-1570
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3199 MA Primary

Addresses

Primary practice location

315 Rantoul St
Units 317 & 319
Beverly, MA 01915-4331

Mailing address

315 Rantoul St
Units 317 & 319
Beverly, MA 01915-4331
Phone (818) 438-1570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090915000692 MA Practitioner - Chiropractic 5597811653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

319 Rantoul St
Beverly, MA 01915-4330
Phone (978) 969-6105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3199MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned for Life Chiropractic LLC Chiropractor CurrentSince Oct 26, 2012 Accepting new patients
Full Potential Chiropractic, Inc. PastSince Oct 19, 2005 Accepting new patients
Full Potential Health PC Chiropractor PastSince Sep 12, 2021 Accepting new patients

Locations

319 Rantoul St
Beverly, MA 01915
Phone (978) 969-6105

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1376799189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 RANTOUL ST",
            "address_2": "UNITS 317 & 319",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154331",
            "telephone_number": "818-438-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 RANTOUL ST",
            "address_2": "UNITS 317 & 319",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154331",
            "telephone_number": "818-438-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "JAMIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.