Individual provider Active NPI

Staafee Saint Jacques, DC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1194553594
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14823 Issued in FL
Practice address
125 E Marks St FL 1
Orlando, FL 32803-3816
Phone
(407) 271-4833
NPI assigned
Jul 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14823 FL Primary

Addresses

Primary practice location

125 E Marks St FL 1
Orlando, FL 32803-3816

Mailing address

2200 Magnolia Ave
Haines City, FL 33844-4526
Phone (863) 236-4722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH14823FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1194553594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MAGNOLIA AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444526",
            "telephone_number": "863-236-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MARKS ST FL 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033816",
            "telephone_number": "407-271-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT JACQUES",
        "first_name": "STAAFEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.