Organization Active NPI

Danita Thomas Heagy, D.C., LLC

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1194982348
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4199 Issued in FL
Legal business name
DANITA THOMAS HEAGY, D.C., LLC
Practice address
4425 US Highway 1 S Ste 109
Saint Augustine, FL 32086-3127
Phone
(904) 797-5100
Fax
(904) 797-5203
NPI assigned
May 16, 2008
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Danita Thomas Heagy, D.C.
Title
Owner/Chiropractor
Phone
(904) 797-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4199 FL Primary

Addresses

Primary practice location

4425 US Highway 1 S Ste 109
Saint Augustine, FL 32086-3127

Mailing address

4425 US Highway 1 S Ste 109
Saint Augustine, FL 32086-3127
Phone (904) 797-5100

National Provider Directory

National Provider Directory

Locations

2575 US Highway 1 S
Ste B
Saint Augustine, FL 32086
Phone (904) 797-5100

4425 US Highway 1 S
Ste 109
Saint Augustine, FL 32086
Phone (904) 669-6171

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1194982348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 US HIGHWAY 1 S STE 109",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320863127",
            "telephone_number": "904-797-5100",
            "fax_number": "904-797-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 US HIGHWAY 1 S STE 109",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320863127",
            "telephone_number": "904-797-5100",
            "fax_number": "904-797-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANITA THOMAS HEAGY, D.C., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS HEAGY",
        "authorized_official_first_name": "DANITA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "904-797-5100",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.