Organization Active NPI

L&C Wellness Center LLC

Doing business as Jackson Chiropractic & Wellness Center

  • Chiropractor
  • Seminole, FL
National Provider Identifier
1427823137
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
L&C WELLNESS CENTER LLC
Doing business as
Jackson Chiropractic & Wellness Center
Practice address
11600 Irving Ave
Seminole, FL 33772-7002
Phone
(813) 317-7092
NPI assigned
Nov 22, 2023
Organization subpart
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

Authorized official

Name
Dr. Monica Sabrina Vera-Jackson, DCNPI 1306588629
Title
Doctor of Chiropractic
Phone
(813) 317-7092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 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 names 1

  • Jackson Chiropractic & Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212004088 FL Part B Supplier - Clinic/Group Practice 6103275433 Receives reassigned benefits from 1 practitioner
Practice locations: Seminole, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1427823137",
    "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": [],
    "basic": {
        "organization_name": "L&C WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "VERA-JACKSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "SABRINA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "813-317-7092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.