Jennifer C Bourst DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 7986 Issued in FL

Legal business name

JENNIFER C BOURST DC PA

Practice address

13750 W Colonial Dr
Suite 318
Winter Garden, FL 34787-4204

Phone

(407) 654-4506

Fax

(407) 654-4506

NPI assigned

Nov 14, 2007

Last updated

Mar 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer C Bourst, DC PANPI 1952471997

Title

President

Phone

(407) 654-4506

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer C Bourst, DC PA

  • Chiropractor
  • Winter Garden, FL
  • NPI 1952471997
  Medicare reassignment NPD Authorized official
• Christine George

  • Chiropractor
  • Sanford, FL
  • NPI 1861041964
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1184804577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 W COLONIAL DR",
            "address_2": "SUITE 318",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874204",
            "telephone_number": "407-654-4506",
            "fax_number": "407-654-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13750 W COLONIAL DR",
            "address_2": "SUITE 318",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874204",
            "telephone_number": "407-654-4506",
            "fax_number": "407-654-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER C BOURST DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "BOURST",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-654-4506",
        "authorized_official_credential": "DC PA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP IDENTIFICATION NUMB",
            "identifier": "K8143",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medgine Stephanie Jean Baptiste
• Mideline Jean-Francois
• Rosalie S Jefferson, ARNP
• Jennie Joseph Family Services Inc. (The Birth Place)
• Jennifer Allmon LLC
• Kristy Jennings
• Tina Marie Jessup, PTA
• Johann Jiao, BEHAVIOR TECHNICIAN
• Casey Jimenez, MD
• JMR Speech Services LLC

• Chiropractor in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.