Lana Winjum, DC
Individual provider Active NPI Chiropractor · Freeport, FL
NPI 1740090299 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1740090299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH15304 (FL)
- Practice address
- 1255 Old Jolly Bay Rd Unit B101
Freeport, FL 32439-4356 - Phone
- (850) 880-6046
- NPI assigned
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shine Chiropractic PLLC
Practice addresses (Care Compare)
1255 Old Jolly Bay Rd
Unit B101
Freeport, FL 32439-4275
Phone (850) 880-6046
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250117001779 | FL | Practitioner - Chiropractic | 8426587536 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH15304 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Chiropractic PLLC | Chiropractor | Current |
Accepting new patients |
Locations
1255 Old Jolly Bay Rd
Unit B101
Freeport, FL 32439
Phone (508) 880-6046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH15304 | FL | Yes |
Addresses
Primary practice location
1255 Old Jolly Bay Rd Unit B101
Freeport, FL 32439-4356
Mailing address
37 Cozy CV
Freeport, FL 32439-2963
Phone (850) 797-4811
Other providers in Freeport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.