Alicia Caraballo Angulo, DC
Individual provider Active NPI Chiropractor · Jefferson City, TN
NPI 1841014362 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1841014362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3887 (TN)
- Practice address
- 673 E Broadway Blvd
Jefferson City, TN 37760-4906 - Phone
- (865) 475-5684
- NPI assigned
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- May Family Chiropractic
Practice addresses (Care Compare)
1775 W Morris Blvd
Morristown, TN 37813-2835
Phone (423) 587-5805
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241230000349 | TN | Practitioner - Chiropractic | 8820525066 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| May Family Chiropractic | Current |
Accepting new patients | |
| Coleman Chiropractic, PLLC | Chiropractor | Past |
Accepting new patients |
Locations
1775 W Morris Blvd
Morristown, TN 37813
Phone (423) 587-5805
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3887 | TN | Yes |
Addresses
Primary practice location
673 E Broadway Blvd
Jefferson City, TN 37760-4906
Mailing address
1775 W Morris Blvd
Morristown, TN 37813-2835
Phone (423) 587-5805
Other providers in Jefferson City, TN
- Katherine Medley Cameron
- Kristen Lynn Cameron
- Melissa A Cameron
- Rachel Cameron
- Brwyan Campbell
- Jessica Carr
- Abby Rebecca Carrick
- Richard B Carter Jr.
- Rebecca George Cate
- Cedars Healthcare LLC
All providers in Jefferson City, TN · Chiropractor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2024. 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.