Individual provider Active NPI

Jill A. Herring, D.C.

  • Chiropractor
  • Fletcher, OK
National Provider Identifier
1902994981
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3187 Issued in OK
Practice address
102 Central
Fletcher, OK 73541
Phone
(580) 549-6932
Fax
(580) 549-6057
NPI assigned
Oct 11, 2006
Last updated
Apr 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3187 OK Primary

Addresses

Primary practice location

102 Central
Fletcher, OK 73541

Mailing address

PO Box 754
Elgin, OK 73538-0754
Phone (580) 549-6932

Other names 1

  • Dr. Jill A. Beaty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000857 OK Practitioner - Chiropractic 2466404975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Jill's Chiropractic Care Center PLLCGroup PAC ID 7113957887, 2 clinicians

Practice addresses (Care Compare)

102 N Central
Fletcher, OK 73541-6007
Phone (580) 549-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3187OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jills Chiropractic Care Center PLLC Chiropractor CurrentSince Feb 14, 2005 Accepting new patients

Locations

1904 S Division St
Guthrie, OK 73044
Phone (405) 282-8585

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1902994981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735380754",
            "telephone_number": "580-549-6932",
            "fax_number": "580-549-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CENTRAL",
            "city": "FLETCHER",
            "state": "OK",
            "postal_code": "73541",
            "telephone_number": "580-549-6932",
            "fax_number": "580-549-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "JILL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BEATY",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fletcher, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.