Jinnifer Melissa Stephan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9215 Issued in FL

Practice address

330A S Lawrence Blvd
Keystone Heights, FL 32656-9219

Phone

(352) 473-9777

NPI assigned

Jul 27, 2006

Last updated

Mar 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Keystone Chiropractic Inc

  • Chiropractor
  • Keystone Heights, FL
  • NPI 1720228539
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1053335448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330A S LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569219",
            "telephone_number": "352-473-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330A S LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569219",
            "telephone_number": "352-473-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHAN",
        "first_name": "JINNIFER",
        "middle_name": "MELISSA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "009654",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodosios Soldatos, MD
• Sidney Srivibul
• Angela Stanley, PT
• Starke Family Medical Center Inc (Village Doctors)
• Starke Family Medical Center Inc (Village Doctors)
• Lyttleton Stewart, RPH
• Virginia Stewart, APRN
• Eden Elizabeth Strickland
• Chloe M Thompson
• Brittany Tillquist

• Chiropractor in Keystone Heights, FL
• Providers in Keystone Heights, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.