Jennifer Victoria Coffey, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1182 Issued in ID

Practice address

104 S Daisy St
Suite a
Salmon, ID 83467-4333

Phone

(208) 756-2202

Fax

(208) 756-2213

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Salmon River Chiropractic Inc 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salmon River Chiropractic Inc.

  • Chiropractor
  • Salmon, ID
  • NPI 1225068059
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1891726196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S DAISY ST",
            "address_2": "SUITE A",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674333",
            "telephone_number": "208-756-2202",
            "fax_number": "208-756-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S DAISY ST",
            "address_2": "SUITE A",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674333",
            "telephone_number": "208-756-2202",
            "fax_number": "208-756-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JENNIFER",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CC Home Health Choices, LLC
• CC Home Health Choices, LLC
• Amanda Kay Clark
• Charles John Clark, R.PH.
• Catherine Cochran, RPH
• Brittany Marie Cole, PHARM.D.
• Danielle Christina Connella, LCSW
• Iris Marie Conrad
• Elaine Constantinescu, RMA, PBT(ASCP)
• Katherine I Contway, MSW LCSW

• All providers in Salmon, ID
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.