Joleene Anderson, D.C.
Individual provider Active NPI Nutrition Chiropractor · Winter Haven, FL
NPI 1598063505 · NPPES record last updated Sep 12, 2013
Key facts
- NPI
- 1598063505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Chiropractor 111NN1001X
- License
- CH8636 (FL)
- Practice address
- 20 3Rd St SW
Suite 200
Winter Haven, FL 33880 - Phone
- (863) 325-4374
- Fax
- (888) 488-2874
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4555 N Lincoln Ave
Chicago, IL 60625-2102
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260327001660 | IL | Practitioner - Chiropractic | 5395220370 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8636 | FL | MD | Nutrition Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH8636 | FL | Yes |
Addresses
Primary practice location
20 3Rd St SW
Suite 200
Winter Haven, FL 33880
Mailing address
20 3Rd St SW
Suite 200
Winter Haven, FL 33880
Phone (863) 325-4374
Other providers in Winter Haven, FL
- American Care of North Florida, Inc
- American Care of North Florida, Inc
- Ameripath Florida LLC
- Amanda Marie Anderson
- Barbara J Anderson
- Micheal Alexander Anderson
- Nadege Anderson
- Quinnasia Anderson
- Aaron Andres
- Rosebud Andrews
All providers in Winter Haven, FL · Nutrition Chiropractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.