Jennifer Holly Hughes, D.C.

Individual provider Active NPI Chiropractor · Rutherfordton, NC

NPI 1699704148 · NPPES record last updated Jun 8, 2010

Key facts

NPI
1699704148
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2799 (NC)
Practice address
249 US 64 Hwy
Rutherfordton, NC 28139-8156
Phone
(828) 287-9993
Fax
(828) 287-9133
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

249 US Hwy 64
Rutherfordton, NC 28139-8156
Phone (828) 287-9993

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040817001383 NC Practitioner - Chiropractic 5395718381 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2799NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Chiropractic Center, PLLC Chiropractor Current
since Apr 23, 2010
Accepting new patients

Locations

249 US 64 Hwy
Rutherfordton, NC 28139
Phone (828) 287-9993

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2799 NC Yes

Addresses

Primary practice location

249 US 64 Hwy
Rutherfordton, NC 28139-8156

Mailing address

249 US 64 Hwy
Rutherfordton, NC 28139-8156
Phone (828) 287-9993

Other identifiers

IdentifierTypeStateIssuer
0842MOtherNCBCBS
890842MMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2010.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1699704148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 US 64 HWY",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281398156",
            "telephone_number": "828-287-9993",
            "fax_number": "828-287-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 US 64 HWY",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281398156",
            "telephone_number": "828-287-9993",
            "fax_number": "828-287-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JENNIFER",
        "middle_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0842M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890842M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

All providers in Rutherfordton, NC · Chiropractor in North Carolina

Sources for this page

Verify at the official NPI Registry.