Individual provider Active NPI

Elizabeth E. Prosser, DC

  • Chiropractor
  • Nokomis, FL
National Provider Identifier
1205856879
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8942 Issued in FL
Practice address
320 Tamiami TRL S
Nokomis, FL 34275-3161
Phone
(941) 484-0008
Fax
(941) 484-5899
NPI assigned
Jul 19, 2006
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8942 FL Primary
Nutrition Education Nutritionist 133NN1002X CH8942 FL

Addresses

Primary practice location

320 Tamiami TRL S
Nokomis, FL 34275-3161

Mailing address

320 Tamiami TRL S
Nokomis, FL 34275-3161
Phone (941) 484-0008

Other identifiers 1

IdentifierTypeStateIssuer
70289OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000265 FL Practitioner - Chiropractic 4183632540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adjust Your Life Chiropractic LLCGroup PAC ID 4284886987, 6 clinicians
Adjust Your Life Chiropractic ParrishGroup PAC ID 4587084470, 2 clinicians

Practice addresses (Care Compare)

10910 State Route 70 E
Suite 101
Bradenton, FL 34202
Phone (941) 799-7207

11665 US Hwy 301 N
Parrish, FL 34219-8407
Phone (941) 799-7207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8942FLMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Adjust Your Life Chiropractic Parrish Chiropractor CurrentSince Jun 11, 2021 Accepting new patients
Sarasota Chiropractic & Wellness Center Chiropractor CurrentSince Jun 8, 2025 Accepting new patients
Adjust Your Life Chiropractic Sarasota LLC Chiropractor PastSince Oct 9, 2022 Accepting new patients
Sarasota Medical Clinic PA Chiropractor PastSince Sep 1, 2004 Accepting new patients

Locations

10910 State Road 70 E
Ste 101
Lakewood Ranch, FL 34202
Phone (941) 749-7207

2477 Stickney Point Rd
Ste 202A
Sarasota, FL 34231
Phone (813) 923-2567

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1205856879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TAMIAMI TRL S",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753161",
            "telephone_number": "941-484-0008",
            "fax_number": "941-484-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 TAMIAMI TRL S",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753161",
            "telephone_number": "941-484-0008",
            "fax_number": "941-484-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "ELIZABETH",
        "middle_name": "E.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8942",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "CH8942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70289",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.

Verify at the official NPI Registry.