Tamara Burkhead D.C. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10451 Issued in FL

Legal business name

TAMARA BURKHEAD D.C. LLC

Doing business as

Wellspring Chiropractic Clinic

Practice address

1102 W Jefferson St
Quincy, FL 32351-2212

Phone

(850) 875-1747

Fax

(850) 627-3853

NPI assigned

Jan 24, 2017

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tamara Burkhead, D.C.NPI 1518240449

Title

Owner

Phone

(850) 875-1747

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellspring Chiropractic Clinic Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamara Lynn Burkhead, D.C.

  • Chiropractor
  • Quincy, FL
  • NPI 1518240449
  Authorized official Same address or phone
• Donnie Martin Cross, D.C.

  • Chiropractor
  • Quincy, FL
  • NPI 1124036991
  NPD (past)
• Michael P. Luse, D.C.

  • Chiropractor
  • Quincy, FL
  • NPI 1013112465
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1730626177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W JEFFERSON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512212",
            "telephone_number": "850-875-1747",
            "fax_number": "850-627-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W JEFFERSON ST",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323512212",
            "telephone_number": "850-875-1747",
            "fax_number": "850-627-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA BURKHEAD D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "BURKHEAD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-875-1747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004395600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxine Wilson Sweet
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• Tallahassee Memorial Healthcare Inc (Physician Partners Quincy NR)
• Tallahassee Memorial Healthcare Inc.
• Kristi Taylor, NP-C
• Julia Templeton
• The Center for Health Equity, Inc. (Triumph Behavioral Healthcare)
• Kayotris Tijuan Thomas
• Marcelete Latanya Thompson Young, MSN, APRN, AGPCNP-C

• Chiropractor in Quincy, FL
• Providers in Quincy, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.