Organization Active NPI

Wakulla Chiropractic & Acupuncture

  • Chiropractor
  • Crawfordville, FL
National Provider Identifier
1104416585
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WAKULLA CHIROPRACTIC & ACUPUNCTURE
Practice address
27 Azalea Dr Unit C
Crawfordville, FL 32327-8033
Phone
(518) 929-0707
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Brianne Kerry Schroeder, DCNPI 1689140980
Title
Owner and Chiropractic
Phone
(518) 929-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

27 Azalea Dr Unit C
Crawfordville, FL 32327-8033

Mailing address

3605 Cagney Dr
Tallahassee, FL 32309-3341
Phone (518) 929-0707

National Provider Directory

National Provider Directory

Locations

27 Azalea Dr
Unit C
Crawfordville, FL 32327
Phone (518) 929-0707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1104416585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 CAGNEY DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093341",
            "telephone_number": "518-929-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 AZALEA DR UNIT C",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323278033",
            "telephone_number": "518-929-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKULLA CHIROPRACTIC & ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "KERRY",
        "authorized_official_title_or_position": "OWNER AND CHIROPRACTIC",
        "authorized_official_telephone_number": "518-929-0707",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.