Revolution Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11821 Issued in FL

Legal business name

REVOLUTION CHIROPRACTIC LLC

Practice address

14866 Old St Augustine Road
Suite 113
Jacksonville, FL 32258

Phone

(904) 716-1098

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Ashley Cost, D.C.NPI 1326595927

Title

Owner

Phone

(904) 716-1098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Lauren Cost, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1326595927
  Medicare reassignment Care Compare group Authorized official
• Ekaterina Medina, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1275104697
  Medicare reassignment Care Compare group
• Caitlin Dichiara

  • Chiropractor
  • Victoria, TX
  • NPI 1275122186

  FL

  Medicare reassignment Care Compare group
• Bethanie Hansen, D.C.

  • Chiropractor
  • Covington, GA
  • NPI 1538661202

  FL

  Medicare reassignment Care Compare group
• Kenneth Arthur Piering, D.C.

  • Chiropractor
  • Jacksonville Beach, FL
  • NPI 1174642151
  NPD

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1124576566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SUMMER SPRINGS CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254186",
            "telephone_number": "904-716-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14866 OLD ST AUGUSTINE ROAD",
            "address_2": "SUITE 113",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32258",
            "telephone_number": "904-716-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "COST",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-716-1098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revamp Therapy L.L.C.
• Winderme Reveron
• Revival Health Group, P.a.
• Revive Chiropractic & Wellness, LLC
• Revive Rehab Inc
• Divya Revuri
• Michael E Rewis, P.A.
• India L Rex, CNA
• Jonathan Rex
• Virginia Rexroat, LCSW, MSW, BSW.

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.