Organization Active NPI

Emerald Isle Wellness LLC

  • Chiropractor
  • Dunedin, FL
National Provider Identifier
1629980396
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EMERALD ISLE WELLNESS LLC
Practice address
557 Park St
Dunedin, FL 34698-7016
Phone
(727) 314-2663
Fax
(888) 394-4159
NPI assigned
Sep 18, 2026
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Jennifer Peterson, DCNPI 1346872215
Title
Ceo/Chiropractic Physician
Phone
(813) 727-8505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

557 Park St
Dunedin, FL 34698-7016

Mailing address

557 Park St
Dunedin, FL 34698-7016
Phone (727) 314-2663

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1629980396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 PARK ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987016",
            "telephone_number": "727-314-2663",
            "fax_number": "888-394-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 PARK ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346987016",
            "telephone_number": "727-314-2663",
            "fax_number": "888-394-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD ISLE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "813-727-8505",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.