DR. JACQUELINE BETH BERK (NPI# 1881622363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881622363 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE BETH BERK |
| Other Name | MRS. JACQUELINE BETH FARMER |
| Credential | DC |
| Practice Address |
325 S Charles G Seivers Blvd Clinton TN 37716-3942 |
| Practice Telephone | 8654578888 |
| Practice Fax Number | 8654578886 |
| Mailing Telephone | 8654578888 |
| Mailing Fax Number | 8654578886 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1150 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 3036656 | 01 |
| TN | 3678428 | 05 |
| Street Address |
325 S CHARLES G SEIVERS BLVD |
| City | CLINTON |
| State | TN |
| Zip Code | 37716-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548204845 | Joel Hans Twist | Chiropractor | 325 S Charles G Seivers Blvd, Clinton, TN 37716-3942 | 2006-06-16 |
| 1902078843 | Anderson County Family Chiropractic, L.L.C. | Chiropractor | 325 S Charles G Seivers Blvd, Clinton, TN 37716-3942 | 2008-04-01 |
| 1689871618 | Wendy Michelle Shimer | Chiropractor | 325 S Charles G Seivers Blvd, Clinton, TN 37716-3942 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912030 | Morgan Jean Hickman | Chiropractor | 211 S Quincy St, Clinton, IL 61727-1953 | 2019-09-25 |
| 1699244871 | Pinnacle Integrative Healthcare, Pllc | Chiropractor | 2418 S 18th St, Clinton, IA 52732-6827 | 2018-11-17 |
| 1437627734 | Ashley Lynn Susie | Chiropractor | 3008 Lincoln Way Ste B, Clinton, IA 52732-7240 | 2018-11-05 |
| 1609342609 | Warren Chiropractic & Wellness Clinic, LLC | Chiropractor | 244 Highway 65 N Ste 1, Clinton, AR 72031-6677 | 2018-10-17 |
| 1609390699 | Abundant Health Chiropractic LLC | Chiropractor | 90 Beaver Ave Ste 302, Clinton, NJ 08809-1017 | 2017-08-01 |
| 1699204180 | Resurgencepro | Chiropractor | 1641 N 2475 W, Clinton, UT 84015-8237 | 2017-06-08 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1154739621 | Melissa Peters | Chiropractor | 2344 Camanche Ave, Clinton, IA 52732-6034 | 2014-07-29 |
| 1912335860 | Clinton Back and Neck Family Wellness, PC | Chiropractor | 951 13th Ave N, Clinton, IA 52732-5032 | 2013-10-30 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.