Jaclyn Elizabeth Walsh, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10671 Issued in FL

Practice address

1456 Periwinkle Way
Suite C
Sanibel, FL 33957-4512

Phone

(270) 519-5665

NPI assigned

Jun 5, 2009

Last updated

Jun 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Leeper Chiropractic Center

  • Chiropractor
  • Paducah, KY
  • NPI 1184804056
  NPD (past)
• Walsh Chiropractic, PLLC

  • Chiropractor
  • Paducah, KY
  • NPI 1437385440
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1184850083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 PERIWINKLE WAY",
            "address_2": "SUITE C",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339574512",
            "telephone_number": "270-519-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 PERIWINKLE WAY",
            "address_2": "SUITE C",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339574512",
            "telephone_number": "270-519-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JACLYN",
        "middle_name": "ELIZABETH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5187",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Klemmer LLC
• Thiessen Counseling Services
• Sarah Marie Thiessen, PH.D., LCPC, LMHC
• Joseph Michael Tolisano, D.C.
• Rachel Salvage Tritaik, PT
• Jeffrey Leo Warren, M.D.
• Melissa L Williams, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.