Individual provider Active NPI

Carol Lynn Learned, DC

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1063575017
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9829 Issued in FL
Practice address
147 East Granada Blvd
Ormond Beach, FL 32176
Phone
(386) 265-5968
Fax
(386) 265-5970
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9829 FL Primary
Chiropractor 111N00000X 6078 AZ

Addresses

Primary practice location

147 East Granada Blvd
Ormond Beach, FL 32176

Mailing address

955 Ginger Cir
Ormond Beach, FL 32176-4140
Phone (386) 265-5968

Other identifiers 1

IdentifierTypeStateIssuer
013699200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000473 FL Practitioner - Chiropractic 0244219285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ormonds Family Chiropractic CenterGroup PAC ID 9133261860, 2 clinicians
Yourchiro NSBGroup PAC ID 2567703309, 2 clinicians

Practice addresses (Care Compare)

147 E Granada Blvd
Ormond Beach, FL 32176-6663
Phone (386) 265-5968

1970 State Rd
Suite 44
New Smyrna, FL 32168-8349
Phone (386) 410-4557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9829FLMDChiropractor
6078AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yourchiro PO LLC Chiropractor CurrentSince Sep 15, 2022 Accepting new patients
Yourchiro NSB Chiropractor CurrentSince Feb 25, 2019 Accepting new patients
Ormonds Family Chiropractic Center Chiropractor CurrentSince Nov 12, 2009 Accepting new patients
Learned Enterprises LLC Dba Yourchiro Chiropractor PastSince Nov 10, 2018 Accepting new patients
Learned Family Chiropractic PLLC Chiropractor Past Accepting new patients
Ryken Inc Chiropractor Past Accepting new patients

Locations

1970 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 410-4557

147 E Granada Blvd
Ormond Beach, FL 32176
Phone (386) 265-5968

Organizations & group practices 6

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1063575017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 GINGER CIR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321764140",
            "telephone_number": "386-265-5968",
            "fax_number": "386-265-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 EAST GRANADA BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32176",
            "telephone_number": "386-265-5968",
            "fax_number": "386-265-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARNED",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9829",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013699200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.