Organization Active NPI

Jennifer M Rayburn, P.C.

Doing business as Healing Hands Chiropractic

  • Chiropractor
  • Grinnell, IA
National Provider Identifier
1619387602
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006972 Issued in IA
Legal business name
JENNIFER M RAYBURN, P.C.
Doing business as
Healing Hands Chiropractic
Practice address
615 Horseshoe Dr
Suite F
Grinnell, IA 50112-4711
Phone
(641) 236-0309
Fax
(641) 236-0183
NPI assigned
Apr 30, 2014
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Dr. Jennifer M Rayburn, D.C.
Title
Doctor
Phone
(641) 236-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006972 IA Primary

Addresses

Primary practice location

615 Horseshoe Dr
Suite F
Grinnell, IA 50112-4711

Mailing address

615 Horseshoe Dr
Suite F
Grinnell, IA 50112-4711
Phone (641) 236-0309

Other names 1

  • Healing Hands Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150629000861 IA Part B Supplier - Clinic/Group Practice 1759693112 Receives reassigned benefits from 1 practitioner
Practice locations: Marshalltown, IA

National Provider Directory

National Provider Directory

Locations

615 Horseshoe Dr
Ste F
Grinnell, IA 50112
Phone (641) 236-0309

809 4th Ave
Grinnell, IA 50112
Phone (641) 236-0309

507 Iowa Ave W
Marshalltown, IA 50158
Phone (641) 328-1957

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1619387602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HORSESHOE DR",
            "address_2": "SUITE F",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501124711",
            "telephone_number": "641-236-0309",
            "fax_number": "641-236-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HORSESHOE DR",
            "address_2": "SUITE F",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501124711",
            "telephone_number": "641-236-0309",
            "fax_number": "641-236-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER M RAYBURN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "RAYBURN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "641-236-0309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "006972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.

Verify at the official NPI Registry.