Jaqua Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9579 Issued in FL

Legal business name

JAQUA CHIROPRACTIC LLC

Practice address

6449 38TH Ave N
Suite B3
Saint Petersburg, FL 33710-1655

Phone

(727) 347-2225

NPI assigned

Feb 6, 2015

Last updated

Mar 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kim Jaqua, D.C.NPI 1659533305

Title

Doctor

Phone

(727) 347-2225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kim M. Jaqua, DC

  • Chiropractor
  • St Petersburg, FL
  • NPI 1659533305
  Authorized official Same address or phone

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1427449867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N",
            "address_2": "SUITE B3",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101655",
            "telephone_number": "727-347-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 38TH AVE N",
            "address_2": "SUITE B3",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337101655",
            "telephone_number": "727-347-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAQUA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "JAQUA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "727-347-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Janicki
• Brittany Jankauskas
• Shirley Jankelevich, M.D.
• Roseanna Marie Jannuzzio, PA-C
• Ina Jano
• Kim M. Jaqua, DC
• Shelley Sue Jaquish, M.D.
• Ana Maria Jara, P.T.
• Jardine Wellness LLC
• Jaclyn Jardine

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.