Active NPI
Jenessa Vansandt, DC, CCEP
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1578004313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0007518
- Practice address
- 2601 S Lemay Ave Ste 35
Fort Collins, CO 80525-2296 - Phone
- (970) 685-8249
- NPI assigned
- Mar 13, 2017
- Last updated
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0007518 | CO | Primary |
Addresses
Primary practice location
2601 S Lemay Ave Ste 35
Fort Collins, CO 80525-2296
Mailing address
2601 S Lemay Ave Ste 35
Fort Collins, CO 80525-2296
Phone (970) 685-8249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180807002764 | CO | Practitioner - Chiropractic | 1850649898 | Practice locations: Fort Collins, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1578004313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 S LEMAY AVE STE 35",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252296",
"telephone_number": "970-685-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 S LEMAY AVE STE 35",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252296",
"telephone_number": "970-685-8249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANSANDT",
"first_name": "JENESSA",
"name_prefix": "Dr.",
"credential": "DC, CCEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0007518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.