Active NPI
Lauren Ackerman, DC
- Chiropractor
- Sarasota, FL
National Provider Identifier
1134829575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14420
- Practice address
- 3544 Clark Rd
Sarasota, FL 34231-8408 - Phone
- (941) 404-1253
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14420 | FL | Primary |
Addresses
Primary practice location
3544 Clark Rd
Sarasota, FL 34231-8408
Mailing address
3301 32ND Ave S Unit 150
Saint Petersburg, FL 33712-3714
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14420 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitalize Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
3544 Clark Rd
Sarasota, FL 34231
Phone (941) 404-1253
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.
-
- Chiropractor
- Sarasota, FL
- NPI 1508394396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1134829575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 32ND AVE S UNIT 150",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337123714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 CLARK RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342318408",
"telephone_number": "941-404-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "LAUREN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "14420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.