Active NPI
Jamie Michelle Young, D.C.
- Chiropractor
- Port Orange, FL
National Provider Identifier
1831378835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9428
- Practice address
- 800 Dunlawton Ave Ste 103
Port Orange, FL 32127-4249 - Phone
- (386) 677-6283
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | CH9428 | FL | Primary |
Addresses
Primary practice location
800 Dunlawton Ave Ste 103
Port Orange, FL 32127-4249
Mailing address
127 Briargate Look
Ormond Beach, FL 32174-0728
Phone (386) 677-6283
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1831378835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 BRIARGATE LOOK",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321740728",
"telephone_number": "386-677-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 DUNLAWTON AVE STE 103",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274249",
"telephone_number": "386-677-6283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JAMIE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.