Active NPI
Sara Bearden
- Chiropractor
- Palm Coast, FL
National Provider Identifier
1790522969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14787
- Practice address
- 50 Leanni Way Unit A6
Palm Coast, FL 32164 - NPI assigned
- Jul 13, 2024
- Last updated
- Jul 13, 2024
- 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 | 14787 | FL | Primary |
Addresses
Primary practice location
50 Leanni Way Unit A6
Palm Coast, FL 32164
Mailing address
34 Pine Croft Lane
Palm Coast, FL 32164
Other practice location 1
410 Blanding Blvd
Orange Park, FL 32073
Phone (904) 454-5341
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 |
|---|---|---|---|
| 14787 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720828800000",
"number": "1790522969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PINE CROFT LANE",
"city": "PALM COAST",
"state": "FL",
"postal_code": "32164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LEANNI WAY UNIT A6",
"city": "PALM COAST",
"state": "FL",
"postal_code": "32164"
}
],
"practiceLocations": [
{
"address_1": "410 Blanding Blvd",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "32073",
"country_code": "US",
"telephone_number": "904-454-5341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEARDEN",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-13",
"last_updated": "2024-07-13",
"certification_date": "2024-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "14787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.