Audra Virgina Hewett, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12241 Issued in FL

Practice address

8390 Champions Gate Blvd Ste 315
Champions Gate, FL 33896-8313

Phone

(407) 885-9229

Fax

(407) 386-6338

NPI assigned

Sep 19, 2017

Reactivated

Jul 10, 2018

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1578082756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD STE 315",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968313",
            "telephone_number": "407-885-9229",
            "fax_number": "407-386-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD STE 315",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968313",
            "telephone_number": "407-885-9229",
            "fax_number": "407-386-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWETT",
        "first_name": "AUDRA",
        "middle_name": "VIRGINA",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "deactivation_date": "2018-06-15",
        "reactivation_date": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaamil Nazeeh Hawkins
• Stefani Jo Heisler, PA
• Matthew Wilson Hernandez
• Nicole Hernandez
• Melanie Eliana Herrera, BEHAVIOR TECHNICIAN
• Briea Jeane Howard
• Nina E Hoyes
• Zachary Thomas Hrim, MSW
• Integrated Regional Laboratories Pathology Services, LLC
• Micaela Irvin, BEHAVIORAL TECH

• Chiropractor in Champions Gate, FL
• Providers in Champions Gate, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.