Active NPI
Jami Dawn Fuller, D.C.
- Chiropractor
- Osceola, IA
National Provider Identifier
1801875760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06406
- Practice address
- 322 S Delaware St
Ste. 100
Osceola, IA 50213-1548 - Phone
- (641) 342-3018
- NPI assigned
- Jan 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06406 | IA | Primary |
Addresses
Primary practice location
322 S Delaware St
Ste. 100
Osceola, IA 50213-1548
Mailing address
322 S Delaware St
Ste. 100
Osceola, IA 50213-1548
Phone (641) 342-3018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1231688 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
322 S Delaware St
Suite 100
Osceola, IA 50213-1566
Phone (641) 342-3018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06406 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byerly Chiropractic Clinic PLC | Chiropractor | Current | Accepting new patients |
Locations
322 S Delaware St
Ste 100
Osceola, IA 50213
Phone (641) 342-3018
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.
-
- Chiropractor
- Osceola, IA
- NPI 1790859890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1801875760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 S DELAWARE ST",
"address_2": "STE. 100",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131548",
"telephone_number": "641-342-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 S DELAWARE ST",
"address_2": "STE. 100",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131548",
"telephone_number": "641-342-3018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "JAMI",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1231688",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.