Active NPI
Monica Sabrina Vera-Jackson, DC
- Chiropractor
- Seminole, FL
National Provider Identifier
1306588629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13907
- Practice address
- 11600 Irving Ave
Seminole, FL 33772-7002 - Phone
- (813) 317-7092
- NPI assigned
- Apr 7, 2022
- Last updated
- Nov 22, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13907 | FL | Primary |
Addresses
Primary practice location
11600 Irving Ave
Seminole, FL 33772-7002
Mailing address
11600 Irving Ave
Seminole, FL 33772-7002
Phone (813) 317-7092
Other practice location 1
312 E Lake Rd
Palm Harbor, FL 34685-2427
Phone (727) 610-6324
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Axis | Direct | |
| Other URL | https://jacksonchiropracticwellnesscenter.janeapp.com/ | Direct |
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11600 Irving Ave
Seminole, FL 33772-7002
Phone (727) 537-0828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13907 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L&C Wellness Center LLC | Chiropractor | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jackson Chiropractic & Wellness Center
- Chiropractor
- Seminole, FL
- NPI 1427823137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1306588629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 IRVING AVE",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337727002",
"telephone_number": "813-317-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 IRVING AVE",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337727002",
"telephone_number": "813-317-7092"
}
],
"practiceLocations": [
{
"address_1": "312 E Lake Rd",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346852427",
"country_code": "US",
"telephone_number": "727-610-6324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERA-JACKSON",
"first_name": "MONICA",
"middle_name": "SABRINA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "13907",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Axis",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "312 E Lake Rd",
"city": "Palm Harbor",
"state": "FL",
"country_code": "US",
"postal_code": "346852427",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://jacksonchiropracticwellnesscenter.janeapp.com/",
"affiliation": "N",
"endpointDescription": "Jane App EMR",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11600 Irving Ave",
"city": "Seminole",
"state": "FL",
"country_code": "US",
"postal_code": "337727002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.