Active NPI
Jessica Harden-Venable, D.C.
- Chiropractor
- Fort Mill, SC
National Provider Identifier
1922354034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3730
- Practice address
- 3071 Highway 21 Byp
Ste 103
Fort Mill, SC 29715-7205 - Phone
- (704) 907-2757
- NPI assigned
- Jul 25, 2012
- Last updated
- Nov 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4290 | NC | |
| Chiropractor | 111N00000X | 3730 | SC | Primary |
Addresses
Primary practice location
3071 Highway 21 Byp
Ste 103
Fort Mill, SC 29715-7205
Mailing address
3071 Highway 21 Byp
Ste 103
Fort Mill, SC 29715-7205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3071 Hwy 21 Byp
Suite 103
Fort Mill, SC 29715-7206
Phone (803) 835-0444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4290 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Providence Chiropractic, LLC | Current | Accepting new patients |
Locations
3071 Highway 21
Ste 103
Fort Mill, SC 29715
Phone (704) 907-2757
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
- Fort Mill, SC
- NPI 1245571561
-
dba Acta Chiropractic and Wellness
- Medical Specialty Clinic/Center
- Providence, RI
- NPI 1871938308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1922354034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3071 HIGHWAY 21 BYP",
"address_2": "STE 103",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297157205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3071 HIGHWAY 21 BYP",
"address_2": "STE 103",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297157205",
"telephone_number": "704-907-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEN-VENABLE",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4290",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.