Active NPI
Jennifer Schueler
- Chiropractor
- Valrico, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12671
- Practice address
- 4341 Lynx Paw TRL
Valrico, FL 33596 - Phone
- (813) 409-3304
- NPI assigned
- May 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5183-12 | WI | |
| Chiropractor | 111N00000X | CH12671 | FL | Primary |
Addresses
Primary practice location
4341 Lynx Paw TRL
Valrico, FL 33596
Mailing address
4341 Lynx Paw TRL
Valrico, FL 33596-7426
Phone (813) 409-3304
Other practice location 1
126 S Main St
Seymour, WI 54165-1475
Phone (920) 833-7844
Other practice location 2
1315 W Mason St
Green Bay, WI 54303-2073
Phone (920) 884-6100
Other practice location 3
4341 Lynx Paw Trl
Valrico, FL 33596
Phone (813) 409-3304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144678616 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12671 | FL | MD | Chiropractor |
| 5183-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champion Wellness Centers, Fishhawk, LLC | Chiropractor | Current | Accepting new patients |
| Thornton Chiropractic Center, P.a. | Past | Accepting new patients |
Locations
906 Lithia Pinecrest Rd
Brandon, FL 33511
Phone (813) 409-3304
4341 Lynx Paw Trl
Valrico, FL 33596
Phone (813) 409-3304
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Chiropractor
- Brandon, FL
- NPI 1386207272
-
- Nutrition Chiropractor
- Brandon, FL
- NPI 1659505329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1144678616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 LYNX PAW TRL",
"city": "VALRICO",
"state": "FL",
"postal_code": "335967426",
"telephone_number": "813-409-3304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 LYNX PAW TRL",
"city": "VALRICO",
"state": "FL",
"postal_code": "33596",
"telephone_number": "813-409-3304"
}
],
"practiceLocations": [
{
"address_1": "126 S Main St",
"address_purpose": "LOCATION",
"city": "Seymour",
"state": "WI",
"postal_code": "541651475",
"country_code": "US",
"telephone_number": "920-833-7844",
"fax_number": "920-833-7946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1315 W Mason St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543032073",
"country_code": "US",
"telephone_number": "920-884-6100",
"fax_number": "920-884-6311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4341 Lynx Paw Trl",
"address_purpose": "LOCATION",
"city": "Valrico",
"state": "FL",
"postal_code": "33596",
"country_code": "US",
"telephone_number": "813-409-3304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHUELER",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5183-12",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144678616",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.