Active NPI
Jennifer Baylor, DC
- Chiropractor
- St Petersburg, FL
National Provider Identifier
1689205734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13040
- Practice address
- 5415 4TH St N
St Petersburg, FL 33703-2249 - Phone
- (727) 521-4244
- NPI assigned
- Jan 28, 2020
- Last updated
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
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 | CH13040 | FL | Primary |
Addresses
Primary practice location
5415 4TH St N
St Petersburg, FL 33703-2249
Mailing address
5415 4TH St N
St Petersburg, FL 33703-2249
Phone (727) 521-4244
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13040 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Sport & Spine PLLC | Chiropractor | Current | Accepting new patients |
| Umbra Inc | Past | Accepting new patients |
Locations
5415 4th St N
St Petersburg, FL 33703
Phone (727) 521-4244
Organizations & group practices 2
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.
-
dba Sea Change Chiropractic
- Chiropractor
- St Petersburg, FL
- NPI 1679374110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1689205734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337032249",
"telephone_number": "727-521-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337032249",
"telephone_number": "727-521-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLOR",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Bayfront Physician Specialty Service
- Bayfront Same Day Surgery Center, LLC.
- Bayhaven (Bayhaven Massage)
- Baylife Physical Therapy & Rehabilitation Inc
- Baylight Psychiatry, PLLC
- Bayou Shores SNF LLC (Rehabilitation Center of St Pete)
- Bayshore Health and Wellness, LLC
- Bayside Behavior Solutions
- Bayside Emergency Physicians PA
- Bayside Facility Inc (Bayside Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.