Active NPI
Gracyn S Baldwin, DC
- Chiropractor
- Jupiter, FL
National Provider Identifier
1609645076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH14832
- Practice address
- 123 Arklow Ave
Jupiter, FL 33458-6522 - Phone
- (561) 876-7353
- NPI assigned
- Dec 27, 2023
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH14832 | FL | Primary |
Addresses
Primary practice location
123 Arklow Ave
Jupiter, FL 33458-6522
Mailing address
123 Arklow Ave
Jupiter, FL 33458-6522
Phone (561) 876-7353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240403002492 | FL | Practitioner - Chiropractic | 0547608077 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH14832 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1609645076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 ARKLOW AVE",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586522",
"telephone_number": "561-876-7353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 ARKLOW AVE",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586522",
"telephone_number": "561-876-7353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "GRACYN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-27",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH14832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.