Individual provider Active NPI

Veronica Lee Jucknies, DC

  • Chiropractor
  • Alpharetta, GA
National Provider Identifier
1629055348
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010039 Issued in GA
Practice address
12600 Deerfield Pkwy Ste 100
Alpharetta, GA 30004-6130
Phone
(678) 687-8023
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010039 GA Primary
Orthopedic Physical Therapist 2251X0800X PT011570 GA

Addresses

Primary practice location

12600 Deerfield Pkwy Ste 100
Alpharetta, GA 30004-6130

Mailing address

490 Henderson Lake Dr
Canton, GA 30115-8585
Phone (678) 684-8023

Other names 1

  • Veronica Lee Walker Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010039GAMDChiropractor
PT011570GAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1629055348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 HENDERSON LAKE DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158585",
            "telephone_number": "678-684-8023",
            "fax_number": "513-984-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 DEERFIELD PKWY STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046130",
            "telephone_number": "678-687-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUCKNIES",
        "first_name": "VERONICA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010039",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT011570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "WALKER",
            "middle_name": "LEE",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.