Organization Active NPI

Palm Chiropractic & Wellness Inc

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1447333448
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8472 Issued in FL
Legal business name
PALM CHIROPRACTIC & WELLNESS INC
Practice address
5220 4TH Avenue Circle East
Bradenton, FL 34208
Phone
(941) 741-8739
Fax
(941) 803-8319
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Alexandria Lynn Charest, D.C.NPI 1194807032
Title
Co-Owner, V.P., Treasurer, Secretar
Phone
(941) 741-8739

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 CH8472 FL Primary

Addresses

Primary practice location

5220 4TH Avenue Circle East
Bradenton, FL 34208

Mailing address

5220 4TH Avenue Circle East
Bradenton, FL 34208
Phone (941) 741-8739

National Provider Directory

National Provider Directory

Locations

710 60th Street Ct E
Ste A
Bradenton, FL 34208
Phone (941) 741-8739

Practitioners & affiliated clinicians

Practitioners 2

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1447333448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 4TH AVENUE CIRCLE EAST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-741-8739",
            "fax_number": "941-803-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 4TH AVENUE CIRCLE EAST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-741-8739",
            "fax_number": "941-803-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM CHIROPRACTIC & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHAREST",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER, V.P., TREASURER, SECRETAR",
        "authorized_official_telephone_number": "941-741-8739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.