Jessica Rae Holland, DC
Individual provider Active NPI Chiropractor · Lyndora, PA
NPI 1821641283 · NPPES record last updated Jul 23, 2022
Key facts
- NPI
- 1821641283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC011693 (PA)
- Practice address
- 6 Chesapeake St Ste 205
Lyndora, PA 16045-1150 - Phone
- (724) 822-1828
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- A Butler Chiropractic, PLLC
Practice addresses (Care Compare)
6 Chesapeake St
Suite 205
Lyndora, PA 16045-1150
Phone (724) 290-2276
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220905000466 | PA | Practitioner - Chiropractic | 6204210537 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013390 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Butler Chiropractic PLLC | Chiropractor | Current |
Accepting new patients |
Locations
6 Chesapeake St
Ste 205
Lyndora, PA 16045
Phone (724) 282-0404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 038.013390 | IL | |
| Chiropractor |
111N00000X | DC011693 | PA | Yes |
Addresses
Primary practice location
6 Chesapeake St Ste 205
Lyndora, PA 16045-1150
Mailing address
6 Chesapeake St Ste 205
Lyndora, PA 16045-1150
Phone (172) 482-2182
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drjess@abutlerchiro.com |
Other providers in Lyndora, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.