Jennifer Gantzer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11488 Issued in FL

Practice address

2909 4TH St N
St Petersburg, FL 33704-2103

Phone

(727) 767-9090

NPI assigned

Apr 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jennifer.gantzer.1@11209.direct.athenahealth.com

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1487040671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 BELCHER RD S # 239",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735000",
            "telephone_number": "727-455-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042103",
            "telephone_number": "727-767-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTZER",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina L Gandara Lopez, MSN, APRN, FNP
• Malay Suresh Gandhi, M.D
• Lori Ganim, RT(R)(MR)(ARRT)
• Carrie Ann Gann, DNP, CPNP-PC
• Stephanie Ganoe
• Devin Alexandra Gapstur, D.M.D.
• Nicole E Garbe, D.O.
• Garcia J Desousa MD PA
• Gisela Garcia-Leyva, MD
• Andrea Garcia, PMHNP-BC

• 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 Apr 14, 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.