Elizabeth L Jurenko

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11386 Issued in FL

Practice address

844 N Stone St
Ste 202
Deland, FL 32720-3208

Phone

(386) 734-2592

Fax

(386) 734-1773

NPI assigned

Jan 7, 2015

Last updated

Feb 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Landrum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1518355916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N STONE ST",
            "address_2": "STE 202",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-734-2592",
            "fax_number": "386-734-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N STONE ST",
            "address_2": "STE 202",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-734-2592",
            "fax_number": "386-734-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURENKO",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11386",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LANDRUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monica Rani Julapelly
• Kristen Ann Juliano
• Zahid Juma, D.D.S.
• Lisa Junkin
• Taneesha Susanne Juras, DC
• Gizem Kahveci, DO
• Frederick Hayward Kaiser, RPH
• Mekhiel Kamel
• Raj Kandavanam, MD
• Musue Kaneh, FNP

• Chiropractor in Deland, FL
• Providers in Deland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.