Individual provider Active NPI

Emilie Jedamski, DC

  • Chiropractor
  • Glenville, WV
National Provider Identifier
1689435067
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1097 Issued in WV
Practice address
1597 US Highway 33 E
Glenville, WV 26351-1098
Phone
(304) 266-4331
NPI assigned
Jan 22, 2024
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1097 WV Primary

Addresses

Primary practice location

1597 US Highway 33 E
Glenville, WV 26351-1098

Mailing address

1597 US Highway 33 E
Glenville, WV 26351-1098
Phone (304) 266-4331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320000089 WV Practitioner - Chiropractic 5496192981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruceton Wellness Center PLLC Chiropractor CurrentSince Feb 12, 2024 Accepting new patients

Locations

15630 N Preston Hwy
Bruceton Mls, WV 26525
Phone (304) 379-7000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1689435067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 US HIGHWAY 33 E",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511098",
            "telephone_number": "304-266-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 US HIGHWAY 33 E",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511098",
            "telephone_number": "304-266-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDAMSKI",
        "first_name": "EMILIE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.