Individual provider Active NPI

Jeanie Rae Francise Froman-Bohall, D.C.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1124221163
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9350 Issued in FL
Practice address
9191 R G Skinner Pkwy
503
Jacksonville, FL 32256-9655
Phone
(904) 738-8189
Fax
(904) 212-1612
NPI assigned
Jun 7, 2007
Last updated
Aug 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9350 FL Primary

Addresses

Primary practice location

9191 R G Skinner Pkwy
503
Jacksonville, FL 32256-9655

Mailing address

9191 RG Skinner Parkway
503
Jacksonville, FL 32256-9660
Phone (904) 738-8189

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1124221163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 RG SKINNER PARKWAY",
            "address_2": "503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569660",
            "telephone_number": "904-738-8189",
            "fax_number": "904-212-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 R G SKINNER PKWY",
            "address_2": "503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569655",
            "telephone_number": "904-738-8189",
            "fax_number": "904-212-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMAN-BOHALL",
        "first_name": "JEANIE",
        "middle_name": "RAE FRANCISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9350",
            "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 Aug 22, 2011; 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.