Active NPI
Jeanne Kern Russell, DC
- Chiropractor
- North Hollywood, CA
National Provider Identifier
1477696649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12269
- Practice address
- 10912 Riverside Dr
North Hollywood, CA 91602 - Phone
- (818) 760-2059
- Fax
- (818) 760-2063
- NPI assigned
- Feb 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 144 | HI | |
| Chiropractor | 111N00000X | 12269 | CA | Primary |
Addresses
Primary practice location
10912 Riverside Dr
North Hollywood, CA 91602
Mailing address
10912 Riverside Dr
North Hollywood, CA 91602
Phone (818) 760-2059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12269 | CA | MD | Chiropractor |
| 144 | HI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1477696649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10912 RIVERSIDE DR",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "91602",
"telephone_number": "818-760-2059",
"fax_number": "818-760-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10912 RIVERSIDE DR",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "91602",
"telephone_number": "818-760-2059",
"fax_number": "818-760-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JEANNE",
"middle_name": "KERN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "144",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "12269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.