Jacob Hamblin Healey, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8203 Issued in AZ

Practice address

13291 W McDowell Rd Ste E4
Goodyear, AZ 85395-2634

Phone

(623) 218-6676

NPI assigned

Aug 31, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Palmer College Chiropractic - Davenport, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Tank Medical PLLCGroup PAC ID 1759746704, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• White Tank Medical PLLC

  • Family Medicine Physician
  • Surprise, AZ
  • NPI 1306549837

  AZ

  Medicare reassignment Care Compare group NPD
• Moseng Chiropractic, P.C.

  • Clinic/Center
  • Flagstaff, AZ
  • NPI 1821978339
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1578844874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13291 W MCDOWELL RD STE E4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952634",
            "telephone_number": "623-218-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13291 W MCDOWELL RD STE E4",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952634",
            "telephone_number": "623-218-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALEY",
        "first_name": "JACOB",
        "middle_name": "HAMBLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Hawkes
• Jayme L Hawthorne, RN
• Timothy Hayden, CRNA
• Ryleigh Hayes, DO
• Head to Toe Health and Wellness
• Kerri Lynn Healey, COTA
• Healing Edge
• Healing Edge NW
• Healthpointe PLLC
• Healthy Life Family Medicine, PLC

• Chiropractor in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.