Jennifer Joella Cullen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12382 Issued in TX

Practice address

507 SW Big Bend TRL Ste C
Glen Rose, TX 76043-4449

Phone

(254) 897-2099

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1427499185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "TOLAR",
            "state": "TX",
            "postal_code": "764760294",
            "telephone_number": "254-897-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SW BIG BEND TRL STE C",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "760434449",
            "telephone_number": "254-897-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "JENNIFER",
        "middle_name": "JOELLA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Jason Coble, D.C.
• Clark Kevin Cole, PHYSICAL THERAPTIST
• County of Somervell (Somervell County EMS)
• Kevin Andrew Crawford, CRNA
• Teresa Collier Crosby, FNP-BC
• D. Barnes, Crna,PC
• Cynthia N Daniels, NP-C
• Michael L Davis, M.D.
• Valerie Michelle Day, M.S., CCC-SLP
• Dino Pediatrics PLLC

• Chiropractor in Glen Rose, TX
• Providers in Glen Rose, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.