Individual provider Active NPI

Jacqueline Figueroa, D.C.

  • Chiropractor
  • Ellenton, FL
National Provider Identifier
1679988224
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11154 Issued in FL
Practice address
6312 US Highway 301 N
Ellenton, FL 34222-3066
Phone
(941) 524-1833
NPI assigned
Jun 23, 2014
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 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 CH11154 FL Primary

Addresses

Primary practice location

6312 US Highway 301 N
Ellenton, FL 34222-3066

Mailing address

6312 US Highway 301 N
Ellenton, FL 34222-3066
Phone (941) 524-1833

Other practice location 1

11023 Gatewood Dr Ste 101
Lakewood Ranch, FL 34211-4945
Phone (941) 744-1585

Other names 1

  • Ms. Jacqueline McGrew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141113000639 FL Practitioner - Chiropractic 8628290319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family Chiropractic, LLCGroup PAC ID 7911339619, 3 clinicians

Practice addresses (Care Compare)

6312 US 301
Ellenton, FL 34222-3066
Phone (941) 524-1833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11154FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Chiropractic, LLC Chiropractor CurrentSince Feb 1, 2019 Accepting new patients

Locations

6312 US Highway 301 N
Ellenton, FL 34222
Phone (941) 304-2054

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1679988224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 US HIGHWAY 301 N",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223066",
            "telephone_number": "941-524-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 US HIGHWAY 301 N",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223066",
            "telephone_number": "941-524-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11023 Gatewood Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342114945",
            "country_code": "US",
            "telephone_number": "941-744-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MCGREW",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.

Verify at the official NPI Registry.