Individual provider Active NPI

Jennifer Sara Lanett, D.C.

  • Chiropractor
  • Albany, CA
National Provider Identifier
1962497446
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28112 Issued in CA
Practice address
828 San Pablo Ave Ste 107
Albany, CA 94706-1678
Phone
(510) 644-4414
Fax
(510) 263-5800
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009470 IL
Chiropractor 111N00000X DC28112 CA Primary

Addresses

Primary practice location

828 San Pablo Ave Ste 107
Albany, CA 94706-1678

Mailing address

PO Box 6857
Albany, CA 94706-0857
Phone (510) 644-4414

Other practice location 1

2506 Shattuck Ave
Berkeley, CA 94704-2722
Phone (510) 644-4414

Other practice location 2

2588 Mission St
Suite #201
San Francisco, CA 94110-2592
Phone (415) 695-1552 ext. 22

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000488 CA Practitioner - Chiropractic 6103887575 Practice locations: Albany, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

828 San Pablo Ave
Suite 107
Albany, CA 94706-1769
Phone (510) 644-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC28112CAMDChiropractor
038-009470ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
City Imaging Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962497446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6857",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947060857",
            "telephone_number": "510-644-4414",
            "fax_number": "510-263-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SAN PABLO AVE STE 107",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061678",
            "telephone_number": "510-644-4414",
            "fax_number": "510-263-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2506 Shattuck Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947042722",
            "country_code": "US",
            "telephone_number": "510-644-4414",
            "fax_number": "510-644-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2588 Mission St",
            "address_2": "Suite #201",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941102592",
            "country_code": "US",
            "telephone_number": "415-695-1552 x22",
            "fax_number": "415-695-0673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANETT",
        "first_name": "JENNIFER",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009470",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.