Active NPI
Jennifer Rathbun, DC
- Chiropractor
- Edwards, CO
National Provider Identifier
1871082255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7679
- Practice address
- 216 Main St
Edwards, CO 81632-8128 - Phone
- (415) 240-6438
- NPI assigned
- May 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7679 | CO | Primary |
Addresses
Primary practice location
216 Main St
Edwards, CO 81632-8128
Mailing address
PO Box 382
San Ramon, CA 94583-0382
Phone (415) 240-6438
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7679 | CO | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1871082255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945830382",
"telephone_number": "415-240-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MAIN ST",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816328128",
"telephone_number": "415-240-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHBUN",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "7679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.