Active NPI
Andrea Lynne Lagnese, D.C.
- Chiropractor
- Ponte Vedra Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8112
- Practice address
- 135 Professional Dr Ste 105
Ponte Vedra Beach, FL 32082-7228 - Phone
- (904) 280-1101
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 | CHIR006490 | GA | |
| Chiropractor | 111N00000X | CH8112 | FL | Primary |
Addresses
Primary practice location
135 Professional Dr Ste 105
Ponte Vedra Beach, FL 32082-7228
Mailing address
14156 Hampton Falls Dr N
Jacksonville, FL 32224-3859
Phone (904) 699-5432
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11512 Lake Mead Ave
Unit 203
Jacksonville, FL 32256-9688
Phone (904) 565-1116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR006490 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Kelly J. Huber, Inc | Chiropractor | Current | Accepting new patients |
Locations
11512 Lake Mead Ave
Unit 203
Jacksonville, FL 32256
Phone (904) 565-1116
135 Professional Dr
Ponte Vedra Beach, FL 32082
Phone (904) 280-1101
135 Professional Dr
Ste 105
Ponte Vedra Beach, FL 32082
Phone (904) 280-1101
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nutrition Chiropractor
- Ponte Vedra Beach, FL
- NPI 1841430683
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": "1670371200000",
"number": "1245259951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14156 HAMPTON FALLS DR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322243859",
"telephone_number": "904-699-5432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 PROFESSIONAL DR STE 105",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320827228",
"telephone_number": "904-280-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGNESE",
"first_name": "ANDREA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR006490",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.