Active NPI
Jennifer Charese Reed, D.C.
- Chiropractor
- Anchorage, AK
National Provider Identifier
1669815692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 605
- Practice address
- 4000 W Dimond Blvd
Suite 4
Anchorage, AK 99502-1475 - Phone
- (907) 243-0660
- Fax
- (907) 248-5481
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Chiropractor | 111N00000X | 12347 | TX | |
| Chiropractor | 111N00000X | 605 | AK | Primary |
Addresses
Primary practice location
4000 W Dimond Blvd
Suite 4
Anchorage, AK 99502-1475
Mailing address
403 Overland Ave
Ste a
Kenai, AK 99611-8050
Phone (907) 395-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160212000323 | AK | Practitioner - Chiropractic | 9133442890 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Puffin Chiropractic LLC
Practice addresses (Care Compare)
403 Overland Ave
Suite a
Kenai, AK 99611-8050
Phone (907) 395-4466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 605 | AK | MD | Chiropractor |
| 12347 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puffin Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Jennifer Charese Reed DC | Chiropractor | Past | Accepting new patients |
Locations
403 Overland Ave
Ste A
Kenai, AK 99611
Phone (907) 395-4466
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
- Spring, TX
- NPI 1104222512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1669815692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 OVERLAND AVE",
"address_2": "STE A",
"city": "KENAI",
"state": "AK",
"postal_code": "996118050",
"telephone_number": "907-395-4466",
"fax_number": "907-395-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W DIMOND BLVD",
"address_2": "SUITE 4",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995021475",
"telephone_number": "907-243-0660",
"fax_number": "907-248-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JENNIFER",
"middle_name": "CHARESE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12347",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.