Individual provider Active NPI

Erin Michelle Zovath, D.C.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1407196744
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10648 Issued in FL
Practice address
8110 Blanding Blvd
Jacksonville, FL 32244-5823
Phone
(904) 379-4621
NPI assigned
Feb 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10648 FL
Chiropractor 111N00000X CH 10648 FL Primary

Addresses

Primary practice location

8110 Blanding Blvd
Jacksonville, FL 32244-5823

Mailing address

8110 Blanding Blvd
Jacksonville, FL 32244-5823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141105002144 FL Practitioner - Chiropractic 2668694712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Bold City Chiropractic LLCGroup PAC ID 1759503808, 4 clinicians

Practice addresses (Care Compare)

8110 Blanding Blvd
Jacksonville, FL 32244-5823
Phone (904) 379-4621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10648FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bold City Chiropractic LLC Chiropractor CurrentSince Jun 30, 2014 Accepting new patients

Locations

8110 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 379-4621

8102 Blanding Blvd
Ste 11
Jacksonville, FL 32244
Phone (904) 321-9629

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1407196744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445823",
            "telephone_number": "904-379-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOVATH",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-24",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10648",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.