Individual provider Active NPI

Isabella Vignali, DC

  • Pediatric Chiropractor
  • Jacksonville, FL
National Provider Identifier
1457282469
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
15911 Issued in FL
Practice address
4540 Southside Blvd Ste 1101
Jacksonville, FL 32216-5495
Phone
(904) 988-3887
NPI assigned
May 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 15911 FL Primary

Addresses

Primary practice location

4540 Southside Blvd Ste 1101
Jacksonville, FL 32216-5495

Mailing address

4540 Southside Blvd Ste 1101
Jacksonville, FL 32216-5495
Phone (904) 988-3887

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
15911FLMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Chiropractic and Wellness Center LLC CurrentSince Jul 3, 2026 Accepting new patients

Locations

4540 Southside Blvd
Ste 1101
Jacksonville, FL 32216
Phone (904) 988-3887

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1457282469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SOUTHSIDE BLVD STE 1101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165495",
            "telephone_number": "904-988-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SOUTHSIDE BLVD STE 1101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165495",
            "telephone_number": "904-988-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGNALI",
        "first_name": "ISABELLA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "FL",
            "license": "15911",
            "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 May 27, 2026; 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.