Active NPI
Laurette Mackinnon, D.C.
- Chiropractor
- Naples, FL
National Provider Identifier
1194881227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11727
- Practice address
- 13020 Livingston Road, Suite 14
Naples, FL 34105-5021 - Phone
- (239) 263-3330
- Fax
- (978) 374-9716
- NPI assigned
- Jan 1, 2007
- Last updated
- Feb 18, 2020
- 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 | CH11727 | FL | Primary |
| Chiropractor | 111N00000X | 2116 | MA |
Addresses
Primary practice location
13020 Livingston Road, Suite 14
Naples, FL 34105-5021
Mailing address
13020 Livingston Road, Suite 14
Naples, FL 34105-5021
Phone (239) 263-3330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36564 | Other | MA | BCBSMA INDIVIDUAL NUMBER |
| Y39421 | Other | MA | BCBSMA GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
13020 Livingston Rd
Suite 14
Naples, FL 34105-5023
Phone (239) 263-3330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Integrated Healthcare Inc | Chiropractor | Current | Accepting new patients |
| Chiropractic Health Care | Chiropractor | Past | Accepting new patients |
| Synergy Chiropractic and Health Center PA | Chiropractor | Past | Accepting new patients |
Locations
13020 Livingston Rd
Ste 14
Naples, FL 34105
Phone (239) 263-3330
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Naples, FL
- NPI 1184090938
Chiropractor
-
- Chiropractor
- Bradford, MA
- NPI 1710191895
-
- Chiropractor
- Naples, FL
- NPI 1396002952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1194881227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13020 LIVINGSTON ROAD, SUITE 14",
"city": "NAPLES",
"state": "FL",
"postal_code": "341055021",
"telephone_number": "239-263-3330",
"fax_number": "978-374-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13020 LIVINGSTON ROAD, SUITE 14",
"city": "NAPLES",
"state": "FL",
"postal_code": "341055021",
"telephone_number": "239-263-3330",
"fax_number": "978-374-9716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKINNON",
"first_name": "LAURETTE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11727",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2116",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA INDIVIDUAL NUMBER",
"identifier": "Y36564",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA GROUP NUMBER",
"identifier": "Y39421",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.