Organization Active NPI

Mountain Family Wellness, LLC

  • Chiropractor
  • Trinidad, CO
National Provider Identifier
1669019303
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOUNTAIN FAMILY WELLNESS, LLC
Practice address
500 San Juan St
Trinidad, CO 81082-2517
Phone
(719) 845-0001
NPI assigned
Dec 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Dr. Brittany Ladonna Jauernig, D.C.NPI 1174054928
Title
Owner
Phone
(719) 845-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

500 San Juan St
Trinidad, CO 81082-2517

Mailing address

500 San Juan St
Trinidad, CO 81082-2517
Phone (719) 845-0001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrJ@Immramachiro.com

National Provider Directory

National Provider Directory

Locations

500 San Juan St
Trinidad, CO 81082
Phone (719) 845-0001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1669019303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SAN JUAN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822517",
            "telephone_number": "719-845-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SAN JUAN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822517",
            "telephone_number": "719-845-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN FAMILY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "JAUERNIG",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "LADONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-845-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrJ@Immramachiro.com",
            "affiliation": "N",
            "address_1": "500 San Juan St",
            "city": "Trinidad",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810822517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.