Individual provider Active NPI

Jennifer Millen, D.C.

  • Chiropractor
  • Lexington, KY
National Provider Identifier
1669439535
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
249362 Issued in KY
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

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100150170MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
3263NCMDProfessional Counselor
249362KYMDChiropractor
5224KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Chiropractic PLLC Chiropractor Past Accepting new patients
Triple Crown Chiropractic & Wellness Chiropractor PastSince Aug 9, 2010 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.

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.

Verify at the official NPI Registry.