Active NPI
Nathaniel Jones, DC, CMT
- Chiropractor
- Windermere, FL
National Provider Identifier
1700666229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH14657
- Practice address
- 4757 The Grove Dr Ste 172
Windermere, FL 34786-8426 - Phone
- (407) 217-6308
- NPI assigned
- Oct 2, 2023
- Last updated
- Oct 2, 2023
- Sex
- Male
- 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 | CH14657 | FL | Primary |
Addresses
Primary practice location
4757 The Grove Dr Ste 172
Windermere, FL 34786-8426
Mailing address
4757 The Grove Dr Ste 172
Windermere, FL 34786-8426
Phone (407) 217-6308
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH14657 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envive LLC | Current | Accepting new patients |
Locations
4757 The Grove Dr
Ste 172
Windermere, FL 34786
Phone (407) 217-6308
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": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1700666229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4757 THE GROVE DR STE 172",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347868426",
"telephone_number": "407-217-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4757 THE GROVE DR STE 172",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347868426",
"telephone_number": "407-217-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "DC, CMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH14657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.