Individual provider Active NPI

Jerrilea Karney, D.C.

  • Chiropractor
  • La Junta, CO
National Provider Identifier
1811069370
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2694 Issued in CO
Practice address
12 E 10TH St
La Junta, CO 81050-2902
Phone
(719) 384-8039
Fax
(719) 384-2621
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2694 CO Primary

Addresses

Primary practice location

12 E 10TH St
La Junta, CO 81050-2902

Mailing address

12 E 10TH St
La Junta, CO 81050-2902
Phone (719) 384-8039

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000366 CO Practitioner - Chiropractic 6406025907 Practice locations: La Junta, CO

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 E 10TH St
La Junta, CO 81050-2902
Phone 7193848039120357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2694COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ark Valley Chiropractic Chiropractor PastSince Feb 27, 1987 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1811069370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 10TH ST",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502902",
            "telephone_number": "719-384-8039",
            "fax_number": "719-384-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 10TH ST",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502902",
            "telephone_number": "719-384-8039",
            "fax_number": "719-384-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNEY",
        "first_name": "JERRILEA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.