Active NPI
Jennifer Ely, DC
- Chiropractor
- Warrenton, VA
National Provider Identifier
1912688276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557921
- Practice address
- 400 Holiday CT Ste 106
Warrenton, VA 20186-4349 - Phone
- (540) 349-8989
- NPI assigned
- Jul 28, 2023
- Last updated
- Jul 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 0104557921 | VA | Primary |
Addresses
Primary practice location
400 Holiday CT Ste 106
Warrenton, VA 20186-4349
Mailing address
94B Leeds CT E
Warrenton, VA 20186-3645
Phone (540) 222-6444
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 |
|---|---|---|---|
| 0104557921 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Smith, PC | Chiropractor | Current | Accepting new patients |
| Lincare Inc | Past | Accepting new patients |
Locations
400 Holiday Ct
Ste 106
Warrenton, VA 20186
Phone (540) 349-0691
Organizations & group practices 2
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.
-
- Chiropractor
- Warrenton, VA
- NPI 1376723312
-
dba J & L Medical Services
- Durable Medical Equipment & Medical Supplies
- Waterford, CT
- NPI 1104701606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1912688276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94B LEEDS CT E",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863645",
"telephone_number": "540-222-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOLIDAY CT STE 106",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201864349",
"telephone_number": "540-349-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELY",
"first_name": "JENNIFER",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.