Individual provider Active NPI

Jeanette Altieri, D.C.

  • Chiropractor
  • Lawrenceville, GA
National Provider Identifier
1821162827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO04727 Issued in GA
Practice address
217 Scenic Hwy # 124
Lawrenceville, GA 30045-5621
Phone
(770) 851-8922
Fax
(770) 513-0547
NPI assigned
Nov 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO04727 GA Primary

Addresses

Primary practice location

217 Scenic Hwy # 124
Lawrenceville, GA 30045-5621

Mailing address

217 Scenic Hwy # 124
Lawrenceville, GA 30045-5621
Phone (770) 851-8922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4727GAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821162827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SCENIC HWY # 124",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455621",
            "telephone_number": "770-851-8922",
            "fax_number": "770-513-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SCENIC HWY # 124",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455621",
            "telephone_number": "770-851-8922",
            "fax_number": "770-513-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIERI",
        "first_name": "JEANETTE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO04727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.