Active NPI
Jane Haskins, D.C.
- Chiropractor
- Eureka, CA
National Provider Identifier
1962620971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14937
- Practice address
- 616 Harris St
Eureka, CA 95503-4448 - Phone
- (707) 441-1500
- Fax
- (707) 442-2033
- NPI assigned
- Apr 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14937 | CA | Primary |
Addresses
Primary practice location
616 Harris St
Eureka, CA 95503-4448
Mailing address
PO Box 7158
Eureka, CA 95502-7158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC014937 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040901001531 | CA | Practitioner - Chiropractic | 4880669738 | Practice locations: Eureka, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962620971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7158",
"city": "EUREKA",
"state": "CA",
"postal_code": "955027158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 HARRIS ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955034448",
"telephone_number": "707-441-1500",
"fax_number": "707-442-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKINS",
"first_name": "JANE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC014937",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.