Ashley Tester, DC – Chiropractor in McKenzie, TN

Key facts

NPI: 1538567367
Entity type: Individual (NPI type 1)
Primary specialty: Chiropractor 111N00000X
License: 2822 (TN)
Practice address: One Chiropractic
62 Hospital Drive
McKenzie, TN 38201
Phone: (731) 441-7874
Fax: (731) 207-1310
NPI assigned: Dec 10, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Tester Chiropractic, PLLC Chiropractor · MC Kenzie, TN · NPI 1912410887

Medicare reassignment NPD Authorized official CHIROPRACTOR · TN
One Chiropractic, PLLC Chiropractor · McKenzie, TN · NPI 1336525211

NPD (past) Authorized official CHIROPRACTOR
Tester Chiropratic Chiropractor · MC Kenzie, TN · NPI 1285128967

NPD CHIROPRACTOR

Medicare Care Compare profile

Specialty: Chiropractic
Education: Life Chiropractic College, 2014
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

62 Hospital Dr
MC Kenzie, TN 38201-1637
Phone (731) 441-7874

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TN

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20151013001408	TN	Practitioner - Chiropractic	3072822055	Reassigns benefits to 1 organization Practice locations: Big Sandy, TN

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Tester Chiropratic	Chiropractor	Current	Accepting new patients
Tester Chiropractic, PLLC	Chiropractor	Current since Oct 18, 2017	Accepting new patients
One Chiropractic, PLLC	Chiropractor	Past since Oct 12, 2015	Accepting new patients

Locations

62 Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 441-7874

62 Hospital Dr
#B
Mc Kenzie, TN 38201

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor	111N00000X	2822	TN	Yes

Addresses

Primary practice location

One Chiropractic
62 Hospital Drive
McKenzie, TN 38201

Mailing address

65 Mallard LN
Paris, TN 38242-2504
Phone (731) 441-7874

Other practice location 1

1203 E Wood St
Paris, TN 38242-4317
Phone (731) 642-3761

Other identifiers

Identifier	Type	State	Issuer
Q036427	Medicaid	TN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2018.

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1538567367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MALLARD LN",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382422504",
            "telephone_number": "731-441-7874",
            "fax_number": "731-207-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CHIROPRACTIC",
            "address_2": "62 HOSPITAL DRIVE",
            "city": "MCKENZIE",
            "state": "TN",
            "postal_code": "38201",
            "telephone_number": "731-441-7874",
            "fax_number": "731-207-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424317",
            "country_code": "US",
            "telephone_number": "731-642-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESTER",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q036427",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKenzie, TN

All providers in McKenzie, TN · Chiropractor in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.