Individual provider Active NPI

Jamie Kathryn Neithold Nash, DC

  • Chiropractor
  • S Dennis, MA
National Provider Identifier
1669502340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2044 Issued in MA
Practice address
38 Route 134
Suite 1
S Dennis, MA 02660
Phone
(508) 394-9355
Fax
(508) 394-9355
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH2044 MA Primary

Addresses

Primary practice location

38 Route 134
Suite 1
S Dennis, MA 02660

Mailing address

PO Box 249
South Dennis, MA 02660
Phone (508) 394-9355

Other identifiers 1

IdentifierTypeStateIssuer
Y36434OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Jamie Neithold Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH2044MAMDChiropractor
2044MAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669502340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "02660",
            "telephone_number": "508-394-9355",
            "fax_number": "508-394-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 ROUTE 134",
            "address_2": "SUITE 1",
            "city": "S DENNIS",
            "state": "MA",
            "postal_code": "02660",
            "telephone_number": "508-394-9355",
            "fax_number": "508-394-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEITHOLD NASH",
        "first_name": "JAMIE",
        "middle_name": "KATHRYN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH2044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36434",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "NEITHOLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in S Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.