Individual provider Active NPI

Lu Elaine Johnson, DR. OF CHIROPRACTIC

  • Nutrition Chiropractor
  • Key Largo, FL
National Provider Identifier
1720184070
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CH8222 Issued in FL
Practice address
100460 Overseas Hwy Ste 4
Key Largo, FL 33037-2547
Phone
(305) 453-3337
Fax
(305) 453-8485
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CH8222 FL Primary

Addresses

Primary practice location

100460 Overseas Hwy Ste 4
Key Largo, FL 33037-2547

Mailing address

P.O. Box 2732
Key Largo, FL 33037
Phone (305) 453-3337

Other identifiers 1

IdentifierTypeStateIssuer
266776200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000692 FL Practitioner - Chiropractic 2264571223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaside Chiropractic IncGroup PAC ID 4385954882, 5 clinicians

Practice addresses (Care Compare)

99198 Overseas Hwy
Suite 8
Key Largo, FL 33037-2437
Phone (305) 451-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Sports Chiropractic & Joint Center LLC CurrentSince Jun 18, 2023 Accepting new patients
Seaside Chiropractic Inc CurrentSince Sep 4, 2020 Accepting new patients

Locations

99198 Overseas Hwy
Ste 8
Key Largo, FL 33037
Phone (305) 451-3337

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1720184070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2732",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "33037",
            "telephone_number": "305-453-3337",
            "fax_number": "305-453-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100460 OVERSEAS HWY STE 4",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372547",
            "telephone_number": "305-453-3337",
            "fax_number": "305-453-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LU ELAINE",
        "credential": "DR. OF CHIROPRACTIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH8222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266776200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.

Verify at the official NPI Registry.