Individual provider Active NPI

Monica Sabrina Vera-Jackson, DC

  • Chiropractor
  • Seminole, FL
National Provider Identifier
1306588629
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13907 Issued in FL
Practice address
11600 Irving Ave
Seminole, FL 33772-7002
Phone
(813) 317-7092
NPI assigned
Apr 7, 2022
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20231212004109 FL Practitioner - Chiropractic 7911356241 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
13907FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
L&C Wellness Center LLC Chiropractor CurrentSince Nov 22, 2023 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.

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.

Verify at the official NPI Registry.