Active NPI
Jessi Lea Alexander, D.C.
- Chiropractor
- Chandler, AZ
National Provider Identifier
1447548334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8213
- Practice address
- 565 W Chandler Blvd Ste 210
Chandler, AZ 85225-7537 - Phone
- (480) 482-1843
- Fax
- (480) 865-3827
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8213 | AZ | Primary |
Addresses
Primary practice location
565 W Chandler Blvd Ste 210
Chandler, AZ 85225-7537
Mailing address
565 W Chandler Blvd Ste 210
Chandler, AZ 85225-7537
Phone (480) 482-1843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160722000323 | AZ | Practitioner - Chiropractic | 6002109493 | Practice locations: Chandler, AZ; Phoenix, AZ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8213 | AZ | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
565 W Chandler Blvd
Ste 210
Chandler, AZ 85225
Phone (480) 482-1843
Organizations & group practices 1
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.
-
- Chiropractor
- Chandler, AZ
- NPI 1770097636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1447548334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 W CHANDLER BLVD STE 210",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852257537",
"telephone_number": "480-482-1843",
"fax_number": "480-963-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 W CHANDLER BLVD STE 210",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852257537",
"telephone_number": "480-482-1843",
"fax_number": "480-865-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JESSI",
"middle_name": "LEA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.