Individual provider Active NPI

Meaghan McGinnity Longyear, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1053966804
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12947 Issued in FL
Practice address
8750 Perimeter Park Blvd Ste 102
Jacksonville, FL 32216-2287
Phone
(904) 900-1477
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X
Chiropractor 111N00000X CH12947 FL Primary

Addresses

Primary practice location

8750 Perimeter Park Blvd Ste 102
Jacksonville, FL 32216-2287

Mailing address

8750 Perimeter Park Blvd Ste 102
Jacksonville, FL 32216-2287
Phone (904) 900-1477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH12947FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1053966804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 PERIMETER PARK BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162287",
            "telephone_number": "904-900-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 PERIMETER PARK BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162287",
            "telephone_number": "904-900-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGYEAR",
        "first_name": "MEAGHAN",
        "middle_name": "MCGINNITY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12947",
            "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 May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.