Active NPI
Carie Jackson, D.C.
- Chiropractor
- Seminole, FL
National Provider Identifier
1346692522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11949
- Practice address
- 11881 106TH CT
Seminole, FL 33778-3645 - Phone
- (727) 743-2067
- NPI assigned
- Jul 12, 2016
- 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 | CH11949 | FL | Primary |
Addresses
Primary practice location
11881 106TH CT
Seminole, FL 33778-3645
Mailing address
11120 Bennett Dr Unit 56
Lakewood Ranch, FL 34211-1142
Phone (727) 743-2067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11949 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1346692522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 BENNETT DR UNIT 56",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342111142",
"telephone_number": "727-743-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11881 106TH CT",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337783645",
"telephone_number": "727-743-2067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.