Active NPI
Michaele Bailey Suarez, DC
- Chiropractor
- Fruit Cove, FL
National Provider Identifier
1285142190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12383
- Practice address
- 445 State Road 13 Ste 9
Fruit Cove, FL 32259-2822 - Phone
- (904) 429-7490
- NPI assigned
- Jan 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12383 | FL | Primary |
Addresses
Primary practice location
445 State Road 13 Ste 9
Fruit Cove, FL 32259-2822
Mailing address
445 State Road 13 Ste 9
Fruit Cove, FL 32259-2822
Phone (904) 429-7490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230125002042 | FL | Practitioner - Chiropractic | 1052675733 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr M Bailey Suarez DC PLLC | Chiropractor | Current | Accepting new patients |
Locations
445 State Road 13 N
Ste 9
Saint Johns, FL 32259
Phone (904) 230-2343
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.
-
- Chiropractor
- Fruit Cove, FL
- NPI 1144937756
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
445 State Rd
13 Suite 9
Fruit Cove, FL 32259-2822
Phone (904) 429-7490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1285142190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 STATE ROAD 13 STE 9",
"city": "FRUIT COVE",
"state": "FL",
"postal_code": "322592822",
"telephone_number": "904-429-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 STATE ROAD 13 STE 9",
"city": "FRUIT COVE",
"state": "FL",
"postal_code": "322592822",
"telephone_number": "904-429-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "MICHAELE",
"middle_name": "BAILEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fruit Cove, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.