Active NPI
Jolene E Yoder, D.C.
- Sports Physician Chiropractor
- Hutchinson, KS
National Provider Identifier
1417959933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- C3421
- Practice address
- 1305 Wheatland Dr
Hutchinson, KS 67502-5667 - Phone
- (620) 663-1791
- Fax
- (620) 664-5073
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | C3421 | KS | Primary |
Addresses
Primary practice location
1305 Wheatland Dr
Hutchinson, KS 67502-5667
Mailing address
1305 Wheatland Dr
Hutchinson, KS 67502-5667
Phone (620) 663-1791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050407000493 | KS | Practitioner - Chiropractic | 6103873583 | Practice locations: Hutchinson, KS |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1305 Wheatland Dr
Hutchinson, KS 67502-5667
Phone (620) 663-1791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3421 | KS | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1417959933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 WHEATLAND DR",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675025667",
"telephone_number": "620-663-1791",
"fax_number": "620-664-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 WHEATLAND DR",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675025667",
"telephone_number": "620-663-1791",
"fax_number": "620-664-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "JOLENE",
"middle_name": "E",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "KS",
"license": "C3421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.