Individual provider Active NPI

Juliana Elizabeth Mitchell, DC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1366045940
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH131114 Issued in FL
Practice address
4561 34TH St
Suite B
Orlando, FL 32811-6433
Phone
(561) 866-3375
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH131114 FL Primary

Addresses

Primary practice location

4561 34TH St
Suite B
Orlando, FL 32811-6433

Mailing address

2530 Pershing Ave
Orlando, FL 32806-7358

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH131114FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
East Lake Chiropractic and Injury Center Inc Chiropractor CurrentSince Feb 1, 2021 Accepting new patients
East Lake Chiropractic & Medical Center, Inc. PastSince Feb 21, 2019 Accepting new patients
Stuber Chiropractic & Acupuncture LLC Chiropractor PastSince Feb 1, 2021 Accepting new patients

Locations

4028 13th St
Saint Cloud, FL 34769
Phone (407) 744-7539

4044 13th St
Saint Cloud, FL 34769
Phone (407) 957-9995

4435 13th St
Saint Cloud, FL 34769
Phone (407) 957-9995

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1366045940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 PERSHING AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328067358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 34TH ST",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116433",
            "telephone_number": "561-866-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JULIANA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH131114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.