Individual provider Active NPI

Jere N Jarrett, D.C.

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1073501540
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003420 Issued in FL
Practice address
205 N Garden Ave
Suite 100
Clearwater, FL 33755-4124
Phone
(727) 447-4647
Fax
(727) 443-3195
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003420 FL Primary

Addresses

Primary practice location

205 N Garden Ave
Suite 100
Clearwater, FL 33755-4124

Mailing address

205 N Garden Ave
Suite 100
Clearwater, FL 33755-4124
Phone (727) 447-4647

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000802 FL Practitioner - Chiropractic 2062430416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 N Garden Ave
Clearwater, FL 33755-4121
Phone 7274474647102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0003420FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Life Chiropractic PA Chiropractor CurrentSince Dec 31, 1985 Accepting new patients

Locations

205 N Garden Ave
Ste 100
Clearwater, FL 33755
Phone (727) 447-4647

205 N Garden Ave
Clearwater, FL 33755
Phone (727) 447-4647

205 N Garden Ave
Fl 1
Clearwater, FL 33755
Phone (727) 447-4647

Organizations & group practices 1

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1073501540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N GARDEN AVE",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554124",
            "telephone_number": "727-447-4647",
            "fax_number": "727-443-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N GARDEN AVE",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554124",
            "telephone_number": "727-447-4647",
            "fax_number": "727-443-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "JERE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.