Individual provider Active NPI

Trisha Anne Weber-Jasper, D.C.

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1588978522
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007335 Issued in IA
Practice address
4135 Pennsylvania Ave
Suite 200
Dubuque, IA 52002-2628
Phone
(563) 583-1539
Fax
(563) 583-1518
NPI assigned
Aug 2, 2010
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007335 IA Primary
Chiropractor 111N00000X 038011896 IL

Addresses

Primary practice location

4135 Pennsylvania Ave
Suite 200
Dubuque, IA 52002-2628

Mailing address

4135 Pennsylvania Ave
Suite 200
Dubuque, IA 52002-2628
Phone (563) 583-1539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011896ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Reese, Inc. Chiropractor PastSince Nov 20, 2010 Accepting new patients
Advanced Healthcare Providers, SC PastSince Feb 22, 2011 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1588978522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 PENNSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022628",
            "telephone_number": "563-583-1539",
            "fax_number": "563-583-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 PENNSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022628",
            "telephone_number": "563-583-1539",
            "fax_number": "563-583-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER-JASPER",
        "first_name": "TRISHA",
        "middle_name": "ANNE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007335",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.