Individual provider Active NPI

Stephanie Anderson, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1033673199
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12708 Issued in FL
Practice address
7807 Baymeadows Rd E Ste 201
Jacksonville, FL 32256-9666
Phone
(904) 306-7777
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McHugh Health and Wellness Inc 4 clinicians

Practice addresses (Care Compare)

12525 Philips Hwy
Suite 205
Jacksonville, FL 32256-3741
Phone (904) 880-1399

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240825000117 FL Practitioner - Chiropractic 2062951874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12708FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
McHugh Chiropractic and Healthcare, Inc. Chiropractor CurrentSince Jul 22, 2024 Accepting new patients
Marshall Family Chiropractic Chiropractor PastSince May 2, 2015 Accepting new patients

Locations

12525 Philips Hwy
Ste 205
Jacksonville, FL 32256
Phone (904) 880-1399

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12708 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

7807 Baymeadows Rd E Ste 201
Jacksonville, FL 32256-9666

Mailing address

2132 Broad Water Dr
Jacksonville, FL 32225-4338
Phone (904) 535-2178

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2019.

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1033673199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 BROAD WATER DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254338",
            "telephone_number": "904-535-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 BAYMEADOWS RD E STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569666",
            "telephone_number": "904-306-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHANIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.