Active NPI
Jacqueline J Russell, D.C.
- Chiropractor
- Conshohocken, PA
National Provider Identifier
1881925741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003535L
- Practice address
- 117 W Ridge Pike
Studio 2
Conshohocken, PA 19428-1297 - Phone
- (610) 825-5333
- NPI assigned
- Jan 15, 2010
- 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 | DC003535L | PA | Primary |
Addresses
Primary practice location
117 W Ridge Pike
Studio 2
Conshohocken, PA 19428-1297
Mailing address
81 Newbury Way
Lansdale, PA 19446-4381
Phone (610) 825-5333
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 |
|---|---|---|---|
| DC003535L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1881925741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 NEWBURY WAY",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194464381",
"telephone_number": "610-825-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W RIDGE PIKE",
"address_2": "STUDIO 2",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281297",
"telephone_number": "610-825-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JACQUELINE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003535L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.