Individual provider Active NPI

Paula Lakeman, D.C

  • Chiropractor
  • Titusville, FL
National Provider Identifier
1649459009
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9423 Issued in FL
Practice address
850 Century Medical Dr
Titusville, FL 32796-2141
Phone
(321) 567-4984
NPI assigned
Nov 1, 2007
Last updated
Feb 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9423 FL Primary

Addresses

Primary practice location

850 Century Medical Dr
Titusville, FL 32796-2141

Mailing address

4520 Donald Ross Rd Ste 115
Palm Beach Gardens, FL 33418-5105
Phone (561) 804-7786

Other practice location 1

4520 Donald Ross Rd Ste 115
Palm Beach Gardens, FL 33418-5105
Phone (561) 804-7786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH9423FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1649459009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 DONALD ROSS RD STE 115",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334185105",
            "telephone_number": "561-804-7786",
            "fax_number": "561-804-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962141",
            "telephone_number": "321-567-4984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4520 Donald Ross Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334185105",
            "country_code": "US",
            "telephone_number": "561-804-7786",
            "fax_number": "561-804-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKEMAN",
        "first_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.