Individual provider Active NPI

Jolene Harlow, DC

  • Chiropractor
  • Auburn, WA
National Provider Identifier
1568648442
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034830 Issued in WA
Practice address
721 M St NE Ste 105
Auburn, WA 98002
Phone
(253) 939-9599
Fax
(253) 804-5655
NPI assigned
Jan 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034830 WA Primary

Addresses

Primary practice location

721 M St NE Ste 105
Auburn, WA 98002

Mailing address

721 M St NE Ste 105
Auburn, WA 98002-4503
Phone (253) 939-9599

Other names 1

  • Dr. Jolene Gagnon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000299 WA Practitioner - Chiropractic 7012094774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

821 Harvey Rd NE
Auburn, WA 98002-4225
Phone (253) 939-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harlow Chiropractic, PLLC Chiropractor CurrentSince May 19, 2018 Accepting new patients

Locations

721 M St NE
Ste 105
Auburn, WA 98002
Phone (253) 766-1161

821 Harvey Rd NE
Auburn, WA 98002
Phone (253) 833-1833

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1568648442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 M ST NE STE 105",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024503",
            "telephone_number": "253-939-9599",
            "fax_number": "253-804-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 M ST NE STE 105",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98002",
            "telephone_number": "253-939-9599",
            "fax_number": "253-804-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "JOLENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENE",
            "last_name": "GAGNON",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.