Individual provider Active NPI

Jennifer Logan Laird, D.C.

  • Chiropractor
  • Freeport, FL
National Provider Identifier
1013945153
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8844 Issued in FL
Practice address
40 Washington St.
Freeport, FL 32439-0625
Phone
(850) 835-9867
Fax
(850) 880-6089
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8844 FL Primary

Addresses

Primary practice location

40 Washington St.
Freeport, FL 32439-0625

Mailing address

40 Washington St
Freeport, FL 32439-0625
Phone (850) 835-9867

Other identifiers 2

IdentifierTypeStateIssuer
117452800MedicaidFL
76145OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000705 FL Practitioner - Chiropractic 9537136593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Washington St
Freeport, FL 32439-3505
Phone (850) 835-9867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Freeport Family Chiropractic Clinic LLC Chiropractor CurrentSince Mar 1, 2007 Accepting new patients

Locations

40 Washington St
Freeport, FL 32439
Phone (850) 333-0312

Networks

  • FL PPO
  • FL HMO

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1013945153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WASHINGTON ST",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324390625",
            "telephone_number": "850-835-9867",
            "fax_number": "850-880-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WASHINGTON ST.",
            "city": "FREEPORT",
            "state": "FL",
            "postal_code": "324390625",
            "telephone_number": "850-835-9867",
            "fax_number": "850-880-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "JENNIFER",
        "middle_name": "LOGAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117452800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "76145",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.