Active NPI
Lee Chiropractic Clinic Inc
- Chiropractor
- Fernandina Beach, FL
National Provider Identifier
1689755589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LEE CHIROPRACTIC CLINIC INC
- Practice address
- 1875-A South 14TH Street
Fernandina Beach, FL 32034 - Phone
- (904) 261-1800
- Fax
- (904) 261-1830
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Elizabeth Anne Harrelson-Lee, DC
- Title
- President
- Phone
- (904) 261-1800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1875-A South 14TH Street
Fernandina Beach, FL 32034
Mailing address
1875-A S 14TH St
Fernandina Beach, FL 32034-3033
Phone (904) 261-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1920 S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-1800
1875-A S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-1800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fernandina Beach, FL
- NPI 1710097183
-
- Chiropractor
- Fernandina Beach, FL
- NPI 1972613347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1689755589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875-A S 14TH ST",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320343033",
"telephone_number": "904-261-1800",
"fax_number": "904-261-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875-A SOUTH 14TH STREET",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "32034",
"telephone_number": "904-261-1800",
"fax_number": "904-261-1830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE CHIROPRACTIC CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "HARRELSON-LEE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-261-1800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.