Individual provider Active NPI

Karen Achie Jackman, D.C.

  • Rehabilitation Chiropractor
  • Columbus, OH
National Provider Identifier
1417133471
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3857 Issued in OH
Practice address
2021 E Dublin Granville Rd
Suite # 145
Columbus, OH 43229-3568
Phone
(614) 888-9655
Fax
(614) 888-9663
NPI assigned
Jan 21, 2008
Last updated
Jan 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 3857 OH Primary

Addresses

Primary practice location

2021 E Dublin Granville Rd
Suite # 145
Columbus, OH 43229-3568

Mailing address

2021 E Dublin Granville Rd
Suite # 145
Columbus, OH 43229-3568
Phone (614) 888-9655

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3857OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1417133471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E DUBLIN GRANVILLE RD",
            "address_2": "SUITE # 145",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293568",
            "telephone_number": "614-888-9655",
            "fax_number": "614-888-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E DUBLIN GRANVILLE RD",
            "address_2": "SUITE # 145",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293568",
            "telephone_number": "614-888-9655",
            "fax_number": "614-888-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "KAREN",
        "middle_name": "ACHIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "3857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.