Individual provider Active NPI

Yanina Genao, D.C.

  • Chiropractor
  • Sanford, FL
National Provider Identifier
1013251032
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10784 Issued in FL
Practice address
820 W Lake Mary Blvd
#107
Sanford, FL 32773-5946
Phone
(407) 942-3258
Fax
(407) 942-3316
NPI assigned
Nov 15, 2012
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10784 FL Primary

Addresses

Primary practice location

820 W Lake Mary Blvd
#107
Sanford, FL 32773-5946

Mailing address

820 W Lake Mary Blvd
#107
Sanford, FL 32773-5946
Phone (407) 942-3258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000482 FL Practitioner - Chiropractic 1355580747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Lake Mary Spine and Rehabilitation CenterGroup PAC ID 6507180379, 2 clinicians

Practice addresses (Care Compare)

115 E Lake Mary Blvd
Sanford, FL 32773-7111
Phone (407) 942-3258

2222 S Kirkman Rd
Orlando, FL 32811-2308
Phone (407) 802-4478

610 Deltona Blvd
Suite a
Deltona, FL 32725-8043
Phone (407) 942-3258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10784FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Mary Spine & Rehabilitation Center CurrentSince Aug 25, 2014 Accepting new patients
Volusia Spine & Rehabilitation Center PLLC CurrentSince Dec 13, 2024 Accepting new patients
Metrowest Spine & Rehabilitation Center PLLC Chiropractor CurrentSince Oct 11, 2022 Accepting new patients
Lake Mary Spine & Rehabilitation Center Past Accepting new patients
Lee Vista Chiropractic Chiropractor Past Accepting new patients

Locations

45677 Highway 27
Davenport, FL 33897
Phone (407) 942-3258

610 Deltona Blvd
Ste A
Deltona, FL 32725
Phone (407) 942-3258

2222 S Kirkman Rd
Orlando, FL 32811
Phone (407) 802-4476

8288 Lee Vista Blvd
Ste A
Orlando, FL 32829
Phone (407) 802-4476

115 E Lake Mary Blvd
Sanford, FL 32773
Phone (407) 942-3258

820 W Lake Mary Blvd
Ste 107
Sanford, FL 32773
Phone (407) 942-3258

Networks

  • FL HMO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • FL HMO C-SNP

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1013251032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W LAKE MARY BLVD",
            "address_2": "#107",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735946",
            "telephone_number": "407-942-3258",
            "fax_number": "407-942-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W LAKE MARY BLVD",
            "address_2": "#107",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735946",
            "telephone_number": "407-942-3258",
            "fax_number": "407-942-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENAO",
        "first_name": "YANINA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.