Jennifer L Burgess, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007320-L Issued in PA

Practice address

107 S Oak St
Mount Carmel, PA 17851-2145

Phone

(570) 339-4599

Fax

(866) 876-8987

NPI assigned

Jul 19, 2005

Last updated

Oct 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Hands Chiropractic AssociationGroup PAC ID 2769657949, 2 clinicians

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

• Healing Hands Chiropractic Association

  • Chiropractor
  • Mount Carmel, PA
  • NPI 1982739330
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1649279977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S OAK ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178512145",
            "telephone_number": "570-339-4599",
            "fax_number": "866-876-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S OAK ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178512145",
            "telephone_number": "570-339-4599",
            "fax_number": "866-876-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "007320-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "BU451351",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017362670001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE",
            "identifier": "50000378",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler W Baran, PA-C
• Roberta Barrett, PASTORAL CARE COUNSE
• Belski Community Pharmacy Inc (Belski Community Pharmacy)
• Garrett S Bembenek, DPM
• Jason L Burgess, DC
• Cicchiello Corporation Inc
• Joan M Cicchiello, PHD, PMHNP, B-C
• Devin Marie Conrad, PA-C
• Mary B. Cortellini, SLP
• Dva Healthcare Renal Care Inc (Northumberland Dialysis)

• Chiropractor in Mount Carmel, PA
• Providers in Mount Carmel, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.