Jennifer Renee Miracle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002523A Issued in IN

Practice address

1826 N Grand Ave
Connersville, IN 47331-2859

Phone

(765) 825-9343

NPI assigned

Sep 24, 2010

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 IN

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1457660433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 N GRAND AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312859",
            "telephone_number": "765-825-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 N GRAND AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312859",
            "telephone_number": "765-825-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRACLE",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002523A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Meyer, PSY.D.
• Mid America Clinical Laboratories, LLC
• Midwest Chiropractic & Rehab
• Midwest Medical Testing LLC
• Miracle Family Chiropractic
• David B Moore, DDS
• Lesley Jean Mullins, R.N., M.S., CNS.
• Emily Munson
• Neighborhood Health Center
• Nellis Adult Daycare LLC

• Chiropractor in Connersville, IN
• Providers in Connersville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.