Krysten Alexandra Jacobs, DC, BSC HK

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3267 Issued in TN

Practice address

1302 Amberwood Cir
Murfreesboro, TN 37128-6755

Phone

(315) 651-9341

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Broadway Chiropractic & Wellness LLC

  • Chiropractor
  • Murfreesboro, TN
  • NPI 1649886391
  NPD Authorized official
• Peak Potential Chiropractic and Physical Therapy

  • Chiropractor
  • Severna Park, MD
  • NPI 1184470825
  NPD
• Robert G Frieman DC PA

  • Chiropractor
  • Parkville, MD
  • NPI 1306025259
  NPD (past)

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1912415712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8838 WALTHAM WOODS RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342402",
            "telephone_number": "410-668-4000",
            "fax_number": "410-668-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 AMBERWOOD CIR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286755",
            "telephone_number": "315-651-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "KRYSTEN",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DC, BSC HK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03965",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Anthony Jackson Jr.
• Rachelle Moriah Jackson, O.D.
• Shonta Monique Jackson
• Tamba Jackson
• Torria Jackson, APRN
• Briana Jahromi, RBT
• James L. Boerner MD PC
• James R. McCawley
• James W Garner Jr MD PC
• Jesseca James

• Chiropractor in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.