Jacqueline Laura Prins, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010421 Issued in MI

Practice address

5211 Cherry Ave
Hudsonville, MI 49426-1447

Phone

(616) 426-8500

NPI assigned

Aug 3, 2016

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2016

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Life Family Chiropractic LLC

  • Clinic/Center
  • Newaygo, MI
  • NPI 1336977248
  Medicare reassignment NPD Authorized official
• Lakeshore Family Chiropractic, PLC

  • Clinic/Center
  • Holland, MI
  • NPI 1508978933
  Medicare reassignment NPD
• Big Rapids Chiropractic, PLC

  • Chiropractor
  • Big Rapids, MI
  • NPI 1760954697
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1811440167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 E 128TH ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493279652",
            "telephone_number": "408-679-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 CHERRY AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261447",
            "telephone_number": "616-426-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 E 128th St",
            "address_purpose": "LOCATION",
            "city": "Grant",
            "state": "MI",
            "postal_code": "493279652",
            "country_code": "US",
            "telephone_number": "408-679-4238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINS",
        "first_name": "JACQUELINE",
        "middle_name": "LAURA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Platinum Living LLC
• Kati Marie Pohl, MSOTRL
• Susan Elizabeth Portfleet
• Sara Potapa
• Traci L Potter
• Christa Diane Purdy, PHARMD, MBA
• Michael Lee Raad, MA, LLC
• Joash Ajay Raj, MD
• Lucas Anthony Raskey
• Luke Tanner Rasper

• Chiropractor in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.