Individual provider Active NPI

Elia Jessica D'Auria, D.C

  • Chiropractor
  • Tamarac, FL
National Provider Identifier
1780037226
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11896 Issued in FL
Practice address
5517 NW 59TH PL
Tamarac, FL 33319-2474
Phone
(561) 715-4159
NPI assigned
Jul 20, 2016
Last updated
May 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11896 FL Primary

Addresses

Primary practice location

5517 NW 59TH PL
Tamarac, FL 33319-2474

Mailing address

5517 NW 59TH PL
Tamarac, FL 33319-2474
Phone (561) 715-4159

Other practice location 1

10551 W Broward Blvd
403
Plantation, FL 33324-2146
Phone (561) 715-4159

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811002424 WA Practitioner - Chiropractic 1951632413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Ponds Northwest LLCGroup PAC ID 0648556894, 2 clinicians

Practice addresses (Care Compare)

2324 California Ave SW
Seattle, WA 98116-2403
Phone (206) 682-0676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Ponds Northwest LLC Chiropractor CurrentSince Jun 1, 2022 Accepting new patients
Dr Adam M Shapkin, D.C. P.a. Chiropractor PastSince Sep 1, 2019 Accepting new patients
Alan H. Mandell P.a. Chiropractor PastSince Feb 14, 2011 Accepting new patients

Locations

2324 California Ave SW
Seattle, WA 98116
Phone (206) 682-0676

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1780037226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 NW 59TH PL",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192474",
            "telephone_number": "561-715-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 NW 59TH PL",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192474",
            "telephone_number": "561-715-4159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10551 W Broward Blvd",
            "address_2": "403",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242146",
            "country_code": "US",
            "telephone_number": "561-715-4159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AURIA",
        "first_name": "ELIA",
        "middle_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.