Jennifer Nicole Weida, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002587A Issued in IN

Practice address

3451 Wyndham Way
Suite a
West Lafayette, IN 47906-5508

Phone

(765) 543-5100

NPI assigned

Aug 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jennifer Pratt Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

National University of Arts and Sciences, Medical Department, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic Solutions of West Lafayette, LLC

  • Chiropractor
  • Lafayette, IN
  • NPI 1811337322
  Medicare reassignment NPD Authorized official
• JM Weida MD CJ Sondgerath MD

  • Family Medicine Physician
  • Lafayette, IN
  • NPI 1629275243
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1790065753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 GALA DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064843",
            "telephone_number": "765-543-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 WYNDHAM WAY",
            "address_2": "SUITE A",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479065508",
            "telephone_number": "765-543-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDA",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002587A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PRATT",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Ann Watson, ATC, LAT
• Laura L Wavra, NP
• Elisabeth R Webb, DPT
• Eowyn Faith Webb
• Gerald Wehr, M.D.
• Ellen Welch
• Benjamin Welk, RBT
• Gordon Daniel Welk, MD
• Rebecca Wells
• Wellspring Counseling Center of Greater Lafayette, Inc

• Chiropractor in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.