Active NPI
Heather Rena Garrison, DC
- Chiropractor
- Plantation, FL
National Provider Identifier
1699542654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14797
- Practice address
- 7119 W Broward Blvd
Plantation, FL 33317-2210 - Phone
- (954) 417-5815
- NPI assigned
- Dec 8, 2023
- Last updated
- Nov 22, 2024
- 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 | 14797 | FL | Primary |
Addresses
Primary practice location
7119 W Broward Blvd
Plantation, FL 33317-2210
Mailing address
224 SE 9TH Ave Apt 10
Deerfield Beach, FL 33441-4040
Phone (336) 225-4695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7119 W Broward Blvd
Plantation, FL 33317-2210
Phone (954) 417-5815
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14797 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gena M Bofshever, DC, LLC | Chiropractor | Current | Accepting new patients |
Locations
7119 W Broward Blvd
Plantation, FL 33317
Phone (954) 417-5815
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": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1699542654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 SE 9TH AVE APT 10",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334414040",
"telephone_number": "336-225-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7119 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172210",
"telephone_number": "954-417-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "HEATHER",
"middle_name": "RENA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "14797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.