Individual provider Active NPI

Andrea Lynn Jordheim, D.C.

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1871726224
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR0007006 Issued in CO
Practice address
2501 Blichman Ave
Suite 110
Grand Junction, CO 81505-1092
Phone
(970) 812-5559
Fax
(888) 972-6051
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CHR0007006 CO
Thermography Chiropractor 111NT0100X CHR0007006 CO
Chiropractor 111N00000X CHR0007006 CO Primary

Addresses

Primary practice location

2501 Blichman Ave
Suite 110
Grand Junction, CO 81505-1092

Mailing address

2501 Blichman Ave
Suite 110
Grand Junction, CO 81505-1092
Phone (970) 812-5559

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

LicenseStateTypeSpecialty
CHR0007006COMDThermography Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1871726224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BLICHMAN AVE",
            "address_2": "SUITE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051092",
            "telephone_number": "970-812-5559",
            "fax_number": "888-972-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BLICHMAN AVE",
            "address_2": "SUITE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051092",
            "telephone_number": "970-812-5559",
            "fax_number": "888-972-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDHEIM",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "CHR0007006",
            "primary": false
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "CO",
            "license": "CHR0007006",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0007006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.