Organization Active NPI

Healthsource Chiropractic of Hampton Cove, LLC

  • Rehabilitation Chiropractor
  • Owens Cross Roads, AL
National Provider Identifier
1497011811
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
1236 Issued in AL
Legal business name
HEALTHSOURCE CHIROPRACTIC OF HAMPTON COVE, LLC
Practice address
6388B Highway 431 S
Suite 3
Owens Cross Roads, AL 35763-9205
Phone
(256) 536-8400
Fax
(256) 536-8775
NPI assigned
Apr 10, 2012
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amanda Rebecca Barnes, D.C.NPI 1255697678
Title
Chiropractor/Owner
Phone
(256) 536-8400

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)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 1236 AL Primary

Addresses

Primary practice location

6388B Highway 431 S
Suite 3
Owens Cross Roads, AL 35763-9205

Mailing address

6388B Highway 431 S
Suite 3
Owens Cross Roads, AL 35763-9205
Phone (256) 536-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120627000774 AL Part B Supplier - Clinic/Group Practice 3375708225 Receives reassigned benefits from 1 practitioner
Practice locations: Owens Cross Roads, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1497011811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6388B HIGHWAY 431 S",
            "address_2": "SUITE 3",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639205",
            "telephone_number": "256-536-8400",
            "fax_number": "256-536-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6388B HIGHWAY 431 S",
            "address_2": "SUITE 3",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639205",
            "telephone_number": "256-536-8400",
            "fax_number": "256-536-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE CHIROPRACTIC OF HAMPTON COVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "256-536-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AL",
            "license": "1236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owens Cross Roads, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.

Verify at the official NPI Registry.