Active NPI
Stephanie Anderson, DC
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1033673199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12708
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1104403542
-
- Chiropractor
- Jacksonville, FL
- NPI 1316333651
NPD CHIROPRACTOR -
- Chiropractor
- Jacksonville, FL
- NPI 1255605424
NPD (past) CHIROPRACTOR
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240825000117 | FL | Practitioner - Chiropractic | 2062951874 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12708 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McHugh Chiropractic and Healthcare, Inc. | Chiropractor | Current | Accepting new patients |
| Marshall Family Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
12525 Philips Hwy
Ste 205
Jacksonville, FL 32256
Phone (904) 880-1399
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12708 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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.