Danita Thomas Heagy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH4199 Issued in FL

Practice address

4425 US 1 South
Danita Thomas Heagy DC LLC Suite 109
St Augustine, FL 32086-7280

Phone

(904) 797-5100

Fax

(904) 797-5033

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093934010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 US 1 SOUTH",
            "address_2": "DANITA THOMAS HEAGY DC LLC SUITE 109",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867280",
            "telephone_number": "904-797-5100",
            "fax_number": "904-797-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 US 1 SOUTH",
            "address_2": "DANITA THOMAS HEAGY DC LLC SUITE 109",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867280",
            "telephone_number": "904-797-5100",
            "fax_number": "904-797-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAGY",
        "first_name": "DANITA",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.