Hoosier Sports & Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002323A Issued in IN

Legal business name

HOOSIER SPORTS & CHIROPRACTIC LLC

Practice address

122 W Wayne Street
Fort Wayne, IN 46802

Phone

(260) 450-3584

NPI assigned

May 5, 2010

Last updated

May 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Nunnally, DC

Title

Chiropractor

Phone

(260) 450-3584

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laury Farrell, FNP

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1891394599
  NPD (past)
• Kathleen Vanderreyden, NP

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1225668312
  NPD (past)

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1801114533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12033",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468622033",
            "telephone_number": "260-450-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W WAYNE STREET",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46802",
            "telephone_number": "260-450-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER SPORTS & CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "NUNNALLY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "260-450-3584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002323A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200882740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hook-Superx LLC (CVS Pharmacy #17496)
• Bruce A. Hook, MD
• Sean Richard Hoos, PHARMD
• Hoosier Physical Therapy
• Hoosier Physical Therapy LLC
• Abbi Hoover
• Darlene K Hoover, PA-C
• Irene T Hoover, N.P.
• Kara Rae Hoover, NP
• Kelly L Hoover, PH.D., HSPP

• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.