Jackie Jean Jacques Nolle, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B897 Issued in NV

Practice address

9476 Double R Blvd
Suite a
Reno, NV 89521-6022

Phone

(775) 284-3333

Fax

(775) 284-3395

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jack J Nolle Professional name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fisher Family First Chiropractic II LTD

  • Chiropractor
  • Reno, NV
  • NPI 1396148847
  Medicare reassignment NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1629150750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9476 DOUBLE R BLVD",
            "address_2": "SUITE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216022",
            "telephone_number": "775-284-3333",
            "fax_number": "775-284-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9476 DOUBLE R BLVD",
            "address_2": "SUITE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216022",
            "telephone_number": "775-284-3333",
            "fax_number": "775-284-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLE",
        "first_name": "JACKIE",
        "middle_name": "JEAN JACQUES",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "NOLLE",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "D. C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carrie Ann Nolan, PHARMD
• Kimberly Alice Nolan, NP
• Michial Nolan, MSW/LSW
• Brian Joseph Noland, PH.D., LP
• Katie Nolin, LMFT, LCADC
• Candace L Nolte
• Maggie Camryn Nordahl
• Kathleen Norde
• Yvonne Nordmeyer
• Kristen A Nork, MD

• Chiropractor in Reno, NV
• Providers in Reno, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.