Active NPI
Nathaniel Edwin Stegehuis, D.C.
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1821654062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12792
- Practice address
- 3355 Hendricks Ave
Jacksonville, FL 32207-5301 - Phone
- (904) 731-3000
- NPI assigned
- May 14, 2019
- Sex
- Male
- 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 | CH12792 | FL | Primary |
Addresses
Primary practice location
3355 Hendricks Ave
Jacksonville, FL 32207-5301
Mailing address
3152 Kernan Lake Cir Apt 105
Jacksonville, FL 32246-3317
Phone (313) 850-5724
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 |
|---|---|---|---|
| CH12792 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony Iselborn, DC PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Physician Chiropractor
- Jacksonville, FL
- NPI 1992398721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1821654062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3152 KERNAN LAKE CIR APT 105",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322463317",
"telephone_number": "313-850-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 HENDRICKS AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075301",
"telephone_number": "904-731-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGEHUIS",
"first_name": "NATHANIEL",
"middle_name": "EDWIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.