Stephanie Davidson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12408 Issued in FL

Practice address

414 Old Hard Rd Ste 106
Fleming Island, FL 32003-3407

Phone

(678) 629-1039

NPI assigned

Feb 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1669971420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 ORTEGA FARMS BLVD UNIT 408",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OLD HARD RD STE 106",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033407",
            "telephone_number": "678-629-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "STEPHANIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth D'Marie, PSYD
• Adam Peter Dahlman, LMHC
• Bridget Kaitlin Dame
• Dan E. Skaggs DDS PA
• Danielle Monique David
• Barbara Ann Davis
• Kanecia Day
• Victoria De Leon
• Saniel John Castillo De Villa
• Patti Martin Dean, RD, LD, MBA

• Chiropractor in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.