Jeannette Mucciolo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1303 Issued in TN

Practice address

4301 Hillsboro Pike Ste 228
Nashville, TN 37215-3314

Phone

(615) 562-2225

NPI assigned

Mar 19, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1457110579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO PIKE STE 228",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153314",
            "telephone_number": "615-562-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO PIKE STE 228",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153314",
            "telephone_number": "615-562-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCCIOLO",
        "first_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ms Holding Inc.
• MTN Care, PLLC
• Mua of Middle Tennessee, LLC
• Ronnie N. Mubang, MD
• Dominic Reese Muccio, DMD
• Joseph Muchmore
• Loretta A Muchukot, MA
• Jennifer Cies Muckala, M.A.
• Rosalena Muckle, M.D.
• Sandhya Mudumbi, MD

• Chiropractor in Nashville, TN
• Providers in Nashville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.