Active NPI
Jennifer Millen, D.C.
- Chiropractor
- Lexington, KY
National Provider Identifier
1669439535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 249362
- Practice address
- 1795 Alysheba Way Suite 4103
Lexington, KY 40509-2488 - Phone
- (859) 335-0419
- Fax
- (859) 264-0588
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5224 | KY | |
| Chiropractor | 111N00000X | 249362 | KY | Primary |
Addresses
Primary practice location
1795 Alysheba Way Suite 4103
Lexington, KY 40509-2488
Mailing address
1795 Alysheba Way Suite 4103
Lexington, KY 40509-2488
Phone (859) 335-0419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100150170 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110104000689 | KY | Practitioner - Chiropractic | 8921193525 | Practice locations: Lexington, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1795 Alysheba Way
Suite 4103
Lexington, KY 40509-2435
Phone (859) 335-0419
1795 Alysheba Way
Suite 4103
Lexington, KY 40509-2488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3263 | NC | MD | Professional Counselor |
| 249362 | KY | MD | Chiropractor |
| 5224 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
| Triple Crown Chiropractic & Wellness | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Lexington, KY
- NPI 1427348572
-
- Chiropractor
- Durham, NC
- NPI 1326166737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1669439535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 ALYSHEBA WAY SUITE 4103",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092488",
"telephone_number": "859-335-0419",
"fax_number": "859-264-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 ALYSHEBA WAY SUITE 4103",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092488",
"telephone_number": "859-335-0419",
"fax_number": "859-264-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLEN",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5224",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "249362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100150170",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.