Active NPI
Jeffrey Lee Nagle, D.C.
- Sports Physician Chiropractor
- Sikeston, MO
National Provider Identifier
1861512576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 5752
- Practice address
- 808 E Wakefield Ave
Suite a
Sikeston, MO 63801-5147 - Phone
- (573) 472-4470
- Fax
- (573) 472-4139
- NPI assigned
- Mar 29, 2007
- Last updated
- Dec 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 5752 | MO | Primary |
Addresses
Primary practice location
808 E Wakefield Ave
Suite a
Sikeston, MO 63801-5147
Mailing address
808 E Wakefield Ave
Suite a
Sikeston, MO 63801-5147
Phone (573) 472-4470
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189386 | Other | MO | HEALTHLINK |
| 44-01193 | Other | MO | UNITED HEALT CARE |
| 350025205 | Other | RR MEDICARE PALMENTO | |
| 106378 | Other | MO | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5752 | MO | MD | Sports Physician Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Physician Chiropractor
- Sikeston, MO
- NPI 1558414896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1861512576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 E WAKEFIELD AVE",
"address_2": "SUITE A",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015147",
"telephone_number": "573-472-4470",
"fax_number": "573-472-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 E WAKEFIELD AVE",
"address_2": "SUITE A",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015147",
"telephone_number": "573-472-4470",
"fax_number": "573-472-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGLE",
"first_name": "JEFFREY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MO",
"license": "5752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "189386",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALT CARE",
"identifier": "44-01193",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PALMENTO",
"identifier": "350025205",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "106378",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sikeston, MO
- Murray Thomas Myers, PA-C
- George M. Myracle, D.D.S.
- N & R of Sikeston at Clearview Inc (Clearview Nursing Center)
- N & R of Sikeston Health Care, Inc. (Sikeston Health Care)
- Nagle Chiropractic Center, P.C.
- Haruka Nakamura, APRN
- Rachel Cecelia Nation, OTR/L
- Amanda Neal, RD, LD
- Larones V Nelson-Bell
- New Hope Ministries
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.