Active NPI
Joleene Anderson, D.C.
- Nutrition Chiropractor
- Winter Haven, FL
National Provider Identifier
1598063505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH8636
- 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
- Last updated
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH8636 | FL | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8636 | FL | MD | Nutrition Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Chicago, IL
- NPI 1902162662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1598063505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 3RD ST SW",
"address_2": "SUITE 200",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "33880",
"telephone_number": "863-325-4374",
"fax_number": "888-488-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 3RD ST SW",
"address_2": "SUITE 200",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "33880",
"telephone_number": "863-325-4374",
"fax_number": "888-488-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JOLEENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH8636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.