Active NPI
Jillian M Duquette, D.C.
- Chiropractor
- Port Orange, FL
National Provider Identifier
1194024729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10262
- Practice address
- 60 Golf Villa Dr
Port Orange, FL 32128-7265 - Phone
- (954) 579-0775
- NPI assigned
- Mar 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 6595 | CO | |
| Chiropractor | 111N00000X | CH 10262 | FL | Primary |
Addresses
Primary practice location
60 Golf Villa Dr
Port Orange, FL 32128-7265
Mailing address
60 Golf Villa Dr
Port Orange, FL 32128
Phone (954) 579-0775
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 |
|---|---|---|---|
| 6595 | CO | MD | Chiropractor |
| CH 10262 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcia C. Sasso, D.C., P.a. | Chiropractor | Current | Accepting new patients |
Locations
5663 NW 29th St
Margate, FL 33063
Phone (954) 974-3456
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
- Margate, FL
- NPI 1598069932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1194024729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 GOLF VILLA DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "32128",
"telephone_number": "954-579-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 GOLF VILLA DR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287265",
"telephone_number": "954-579-0775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUQUETTE",
"first_name": "JILLIAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6595",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.