Individual provider Active NPI

Jodi Lynn Jakiel, D.C

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1225264500
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9702 Issued in FL
Practice address
8257 Narcoossee Park Dr
Suite 516
Orlando, FL 32822-5545
Phone
(407) 384-4904
Fax
(407) 744-7203
NPI assigned
Jun 1, 2009
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9702 FL Primary

Addresses

Primary practice location

8257 Narcoossee Park Dr
Suite 516
Orlando, FL 32822-5545

Mailing address

8257 Narcoossee Park Dr
Suite 516
Orlando, FL 32822-5545
Phone (407) 384-4904

Other identifiers 1

IdentifierTypeStateIssuer
2201FOtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000012 FL Practitioner - Chiropractic 1456537125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9702FLMDChiropractor

Organizations & group practices 2

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1225264500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8257 NARCOOSSEE PARK DR",
            "address_2": "SUITE 516",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225545",
            "telephone_number": "407-384-4904",
            "fax_number": "888-744-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8257 NARCOOSSEE PARK DR",
            "address_2": "SUITE 516",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225545",
            "telephone_number": "407-384-4904",
            "fax_number": "407-744-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKIEL",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2201F",
            "state": "FL"
        }
    ],
    "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 Mar 19, 2012; 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.

Verify at the official NPI Registry.