Jennifer Nelson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33594 Issued in CA

Practice address

8491 Fletcher Pkwy
La Mesa, CA 91942-3005

Phone

(619) 333-0733

Fax

(619) 828-6558

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• J Nelson Chiropractic Corporation

  • Sports Physician Chiropractor
  • La Mesa, CA
  • NPI 1023781770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1396196796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 FLETCHER PKWY",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423005",
            "telephone_number": "619-405-5804",
            "fax_number": "619-828-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8491 FLETCHER PKWY",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423005",
            "telephone_number": "619-333-0733",
            "fax_number": "619-828-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925A 41st Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950624456",
            "country_code": "US",
            "telephone_number": "619-405-5804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNIFER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Gisel Negrete
• Jacque Michael Negrete, L.C.S.W.
• Grant Barrie Neifeld, M.D.
• Leslie Neilson, M.S., CCC-SLP
• David Peter Neison, MD
• Nancy Lynn Nelson, P.T.
• Wendy J Nelson, N.P.
• Linda Nerenberg, L.E.P.
• Neurological and Pain Institute Inc
• Elizabeth J Nevarez, PT, DPT

• Chiropractor in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Chiropractor in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.