Active NPI
Jessica R Gradel, DC, L.AC
- Chiropractor
- New Albany, IN
National Provider Identifier
1871009522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002964A
- 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, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84000197A | IN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Health Services LLC | Chiropractor | Current | 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.
-
dba StoneWater Acupuncture & Chiropractic
- Chiropractor
- New Albany, IN
- NPI 1114416484
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.