Individual provider Active NPI

Jennifer Fipps, D.C.

  • Chiropractor
  • Pikeville, KY
National Provider Identifier
1447440425
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
249207 Issued in KY
Practice address
274 Cassidy Blvd Ste 2
Pikeville, KY 41501-1559
Phone
(606) 653-6016
Fax
(606) 653-6017
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1702 AR
Chiropractor 111N00000X 249207 KY Primary

Addresses

Primary practice location

274 Cassidy Blvd Ste 2
Pikeville, KY 41501-1559

Mailing address

274 Cassidy Blvd Ste 2
Pikeville, KY 41501-1559
Phone (859) 203-5100

Other practice location 1

710 N Carol Malone Blvd Ste B
Grayson, KY 41143-1126
Phone (606) 618-9600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180628001092 KY Practitioner - Chiropractic 2062509730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

274 Cassidy Blvd
Suite 2
Pikeville, KY 41501-1559
Phone (606) 653-6016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1229MSMDProfessional Counselor
249207KYMDChiropractor
1702ARMDRegistered Dietitian
2294ALMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Centers of Grayson Chiropractor CurrentSince Jan 1, 2019 Accepting new patients
Holmes Chiropractic PSC Chiropractor CurrentSince May 7, 2018 Accepting new patients
Core Health Centers of Pikeville LLC Chiropractor CurrentSince Sep 1, 2021 Accepting new patients
Ashland Integrated Medicine PSC Chiropractor PastSince Feb 21, 2015 Accepting new patients
CWMC of Searcy Chiropractor PastSince Feb 14, 2008 Accepting new patients
Silver Group Chiropractic, Inc Chiropractor Past Accepting new patients

Locations

3401 Solutions Ctr
#773401
Chicago, IL 60677

155 W Central Ave
Ashland, KY 41101
Phone (606) 326-1132

455 Armco Rd
Ashland, KY 41101
Phone (606) 326-1132

710 N Carol Malone Blvd
#B
Grayson, KY 41143
Phone (606) 618-9600

274 Cassidy Blvd
Ste 2
Pikeville, KY 41501
Phone (606) 653-6016

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1447440425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 CASSIDY BLVD STE 2",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011559",
            "telephone_number": "859-203-5100",
            "fax_number": "606-393-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 CASSIDY BLVD STE 2",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011559",
            "telephone_number": "606-653-6016",
            "fax_number": "606-653-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N Carol Malone Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431126",
            "country_code": "US",
            "telephone_number": "606-618-9600",
            "fax_number": "606-393-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIPPS",
        "first_name": "JENNIFER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1702",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "249207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.