Active NPI
Jubilee Family Chiropractic, LLC
- Chiropractor
- Charlottesville, VA
National Provider Identifier
1447788914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104-557424
- Legal business name
- JUBILEE FAMILY CHIROPRACTIC, LLC
- Practice address
- 1770 Timberwood Blvd Ste 103
Charlottesville, VA 22911-7501 - Phone
- (434) 218-2620
- NPI assigned
- May 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lisa Michelle Williams
- Title
- Owner
- Phone
- (434) 218-2620
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104-557424 | VA | Primary |
Addresses
Primary practice location
1770 Timberwood Blvd Ste 103
Charlottesville, VA 22911-7501
Mailing address
1770 Timberwood Blvd Ste 103
Charlottesville, VA 22911-7501
Phone (434) 218-2620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1770 Timberwood Blvd
Ste 103
Charlottesville, VA 22911
Phone (434) 218-2620
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charlottesville, VA
- NPI 1699203166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1447788914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 TIMBERWOOD BLVD STE 103",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229117501",
"telephone_number": "434-218-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 TIMBERWOOD BLVD STE 103",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229117501",
"telephone_number": "434-218-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUBILEE FAMILY CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-30",
"last_updated": "2022-07-21",
"certification_date": "2021-11-05",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "434-218-2620",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VA",
"license": "0104-557424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.