Jessica Erin Bourque, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13571 Issued in TX

Practice address

240 Farnworth Cir
League City, TX 77573-6714

Phone

(713) 705-3623

NPI assigned

Nov 16, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Enerchi Chiropractic and Wellness, PLLC

  • Clinic/Center
  • Webster, TX
  • NPI 1780292581
  NPD Authorized official

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1619480332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 FARNWORTH CIR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736714",
            "telephone_number": "713-705-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 FARNWORTH CIR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736714",
            "telephone_number": "713-705-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURQUE",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai Borgstrom, D.C., C.C.S.P.
• Krislyn Boswell
• Melissa Ann Botard, FNP-C
• Gideon Petrus Botha, LPC, LMFT
• Marion B Bourgeois, LMT
• Kendra Eve Bowie, LPC
• Daisy Bowler
• Trina Boyer
• David Joseph Bracken, MD
• Cheryl Brackens, NP

• Chiropractor in League City, TX
• Providers in League City, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.