Active NPI
Jennie Lynfred Logue
- Independent Medical Examiner Chiropractor
- Los Angeles, CA
National Provider Identifier
1982114476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 20293
- Practice address
- 3868 S Centinela Ave Apt 12
Los Angeles, CA 90066-4459 - Phone
- (818) 619-4041
- NPI assigned
- Oct 10, 2017
- 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 |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 20293 | CA | Primary |
Addresses
Primary practice location
3868 S Centinela Ave Apt 12
Los Angeles, CA 90066-4459
Mailing address
3868 S Centinela Ave Apt 12
Los Angeles, CA 90066-4459
Phone (818) 619-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1175 N Main St
Lakeport, CA 95453-3858
Phone (707) 349-3124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erik Jameson Chiropractic Inc. | Current | Accepting new patients |
Locations
1175 N Main St
Lakeport, CA 95453
Phone (707) 272-3032
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.
-
- Chiropractor
- Lakeport, CA
- NPI 1942973920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1982114476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3868 S CENTINELA AVE APT 12",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900664459",
"telephone_number": "818-619-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3868 S CENTINELA AVE APT 12",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900664459",
"telephone_number": "818-619-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGUE",
"first_name": "JENNIE",
"middle_name": "LYNFRED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "CA",
"license": "20293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.