Individual provider Active NPI

Jessica R Gradel, DC, L.AC

  • Chiropractor
  • New Albany, IN
National Provider Identifier
1871009522
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002964A Issued in IN
Practice address
152 E Main St
New Albany, IN 47150-5857
Phone
(812) 590-1584
Fax
(509) 463-1384
NPI assigned
Dec 18, 2017
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002964A IN Primary
Acupuncturist 171100000X 84000197A IN

Addresses

Primary practice location

152 E Main St
New Albany, IN 47150-5857

Mailing address

152 E Main St
New Albany, IN 47150-5857
Phone (419) 261-1318

Other practice location 1

2832 Rolling Creek Dr
Jeffersonville, IN 47130-8955
Phone (419) 261-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180612003201 IN Practitioner - Chiropractic 4486909645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84000197AINMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Health Services LLC Chiropractor CurrentSince Apr 10, 2018 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1871009522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 E MAIN ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505857",
            "telephone_number": "419-261-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 E MAIN ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505857",
            "telephone_number": "812-590-1584",
            "fax_number": "509-463-1384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2832 Rolling Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471308955",
            "country_code": "US",
            "telephone_number": "419-261-1318",
            "fax_number": "419-261-1318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADEL",
        "first_name": "JESSICA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002964A",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000197A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.