Individual provider Active NPI

Jeanine A Fedorko, DC

  • Nutrition Chiropractor
  • Sarasota, FL
National Provider Identifier
1477523462
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CH14620 Issued in FL
Practice address
2055 Wood St Ste 120
Sarasota, FL 34237-7928
Phone
(330) 620-1159
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CH14620 FL Primary

Addresses

Primary practice location

2055 Wood St Ste 120
Sarasota, FL 34237-7928

Mailing address

3678 Parkridge Cir
Sarasota, FL 34243-1445
Phone (330) 620-1159

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
CH14620FLMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pfister Functional Medicine & Chiropractic LLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

708 E Smith Rd
Medina, OH 44256
Phone (330) 725-5277

Organizations & group practices 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1477523462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3678 PARKRIDGE CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431445",
            "telephone_number": "330-620-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WOOD ST STE 120",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377928",
            "telephone_number": "330-620-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORKO",
        "first_name": "JEANINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH14620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.