Individual provider Active NPI

Jody Anne Ferreira, D.C.

  • Chiropractor
  • Eliot, ME
National Provider Identifier
1386732832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1145 Issued in ME
Practice address
6 Seeley LN
Eliot, ME 03903
Phone
(207) 439-9242
Fax
(207) 438-0246
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1145 ME Primary
Chiropractor 111N00000X 624-0201 NH

Addresses

Primary practice location

6 Seeley LN
Eliot, ME 03903

Mailing address

6 Seeley LN
Eliot, ME 03903
Phone (207) 439-9242

Other identifiers 1

IdentifierTypeStateIssuer
2812100099MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000304 ME Practitioner - Chiropractic 6709830342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Natural Care Wellness CenterGroup PAC ID 9335227537, 2 clinicians

Practice addresses (Care Compare)

6 Seely LN
Eliot, ME 03903-2016
Phone (207) 439-9242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1145MEMDChiropractor
624-0201NHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Care Wellness Center Chiropractor CurrentSince Mar 10, 2011 Accepting new patients

Locations

6 Seely Ln
Eliot, ME 03903
Phone (207) 439-9242

Interoperability endpoints

  • Direct secure messaging: scott@ncwc0004.direct.chirotouch.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386732832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SEELEY LN",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "03903",
            "telephone_number": "207-439-9242",
            "fax_number": "207-438-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SEELEY LN",
            "city": "ELIOT",
            "state": "ME",
            "postal_code": "03903",
            "telephone_number": "207-439-9242",
            "fax_number": "207-438-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "JODY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1145",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "624-0201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2812100099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eliot, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.