Organization Active NPI

Sarasota Spine & Nerve Institute Inc

  • Chiropractor
  • Lakewood Ranch, FL
National Provider Identifier
1306288865
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8966 Issued in FL
Legal business name
SARASOTA SPINE & NERVE INSTITUTE INC
Practice address
6954 Professional Pkwy E
Lakewood Ranch, FL 34240-8414
Phone
(941) 952-3867
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Shanelle Etienne, DC
Title
Chiropractor
Phone
(941) 952-6837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH8966 FL Primary

Addresses

Primary practice location

6954 Professional Pkwy E
Lakewood Ranch, FL 34240-8414

Mailing address

6954 Professional Pkwy E
Sarasota, FL 34240-8414
Phone (941) 952-3867

National Provider Directory

National Provider Directory

Locations

6954 Professional Pkwy
Lakewood Ranch, FL 34240
Phone (941) 952-3867

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1306288865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6954 PROFESSIONAL PKWY E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408414",
            "telephone_number": "941-952-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6954 PROFESSIONAL PKWY E",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408414",
            "telephone_number": "941-952-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA SPINE & NERVE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "SHANELLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "941-952-6837",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.