Active NPI
Jennifer Weisenborn
- Chiropractor
- Venice, FL
National Provider Identifier
1750501094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH5179
- Practice address
- 730 US Highway 41 N
Venice, FL 34285 - Phone
- (941) 484-6877
- NPI assigned
- Apr 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | CH5179 | FL | Primary |
Addresses
Primary practice location
730 US Highway 41 N
Venice, FL 34285
Mailing address
2242 Ashberry Cir
Sarasota, FL 34234-4977
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 |
|---|---|---|---|
| CH5179 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750501094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2242 ASHBERRY CIR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342344977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 US HIGHWAY 41 N",
"city": "VENICE",
"state": "FL",
"postal_code": "34285",
"telephone_number": "941-484-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISENBORN",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH5179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.