Marydee Lynn Vaile, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10423 Issued in FL

Practice address

11740-2 San Jose Blvd
Jacksonville, FL 32223-1629

Phone

(904) 880-5755

NPI assigned

Jan 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1164792289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLANTATION ISLAND DR S",
            "address_2": "SUITE 230",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803113",
            "telephone_number": "202-821-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740-2 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231629",
            "telephone_number": "904-880-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILE",
        "first_name": "MARYDEE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10423",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3682",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghazal S Vafabakhsh
• Pardis Vafaii
• Sonia Vaid
• Nathan Lee Vail, LCSW
• Robin Smith Vail, PH.D.
• Danielle L Vailes, MED, ATC, LAT, CES
• Vita Vairogs, MD
• Sreeramulu Reddy Vaka, M. D.
• Susmitha Vaka, M.D.
• Vakil Therapeutic Services (The Elements)

• 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 Jan 5, 2012; 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.