Individual provider Active NPI

Amy Elizabeth Jabanoski, D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1700804515
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9709 Issued in FL
Practice address
2423 Bee Ridge Rd
Sarasota, FL 34239-6304
Phone
(941) 921-6656
Fax
(941) 925-7561
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00648700 NJ
Chiropractor 111N00000X CH9709 FL Primary

Addresses

Primary practice location

2423 Bee Ridge Rd
Sarasota, FL 34239-6304

Mailing address

3138 Regatta Cir
Sarasota, FL 34231-8114
Phone (908) 868-3371

Other names 1

  • Amy Elizabeth Bartz Former name

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

LicenseStateTypeSpecialty
38MC00648700NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wholistic Health Clinic, Inc Past Accepting new patients
Theodore Simon DC PA Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1700804515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 REGATTA CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318114",
            "telephone_number": "908-868-3371",
            "fax_number": "941-725-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396304",
            "telephone_number": "941-921-6656",
            "fax_number": "941-925-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABANOSKI",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00648700",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BARTZ",
            "middle_name": "ELIZABETH",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.