Individual provider Active NPI

Cierra Jennestreet, DC

  • Chiropractor
  • Williamsburg, VA
National Provider Identifier
1386471258
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104558040 Issued in VA
Practice address
219 McLaws Cir
Williamsburg, VA 23185-5649
Phone
(757) 259-1121
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15180 FL
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104558040 VA Primary

Addresses

Primary practice location

219 McLaws Cir
Williamsburg, VA 23185-5649

Mailing address

219 McLaws Cir
Williamsburg, VA 23185-5649
Phone (757) 259-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241029002544 FL Practitioner - Chiropractic 5294268249 Reassigns benefits to 1 organization
I20250219002064 VA Practitioner - Chiropractic 5294268249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Center of WilliamsburgGroup PAC ID 3870758212, 2 clinicians

Practice addresses (Care Compare)

219 McLaws Cir
Williamsburg, VA 23185-5649
Phone (757) 259-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104558040VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zaideman Natural Health, PLLC Chiropractor CurrentSince Sep 11, 2024 Accepting new patients
Spine Center of Williamsburg Chiropractor CurrentSince Dec 6, 2024 Accepting new patients
Dr David L Hartz PA Chiropractor CurrentSince Sep 1, 2024 Accepting new patients

Locations

1610 W Plaza Dr
Tallahassee, FL 32308
Phone (850) 787-6790

219 McLaws Cir
Williamsburg, VA 23185
Phone (757) 259-0077

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1386471258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MCLAWS CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855649",
            "telephone_number": "757-259-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MCLAWS CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855649",
            "telephone_number": "757-259-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNESTREET",
        "first_name": "CIERRA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15180",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.