Individual provider Active NPI

Alicia Jasmine Jones, DC, BS, LMT

  • Chiropractor
  • Clermont, FL
National Provider Identifier
1861250185
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14658 Issued in FL
Practice address
4567 Tahoe Cir
Clermont, FL 34714-6613
Phone
(352) 933-1179
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA102694 FL
Chiropractor 111N00000X CH14658 FL Primary

Addresses

Primary practice location

4567 Tahoe Cir
Clermont, FL 34714-6613

Mailing address

4567 Tahoe Cir
Clermont, FL 34714-6613
Phone (352) 933-1179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207002158 FL Practitioner - Chiropractic 7810427762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiros Winter Haven LLCGroup PAC ID 1052843547, 2 clinicians

Practice addresses (Care Compare)

151 1St St S
Suite a
Winter Haven, FL 33880-3000
Phone (863) 268-6552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
CH14658FLMDChiropractor
MA102694FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Zo Natural Health LLC Chiropractor CurrentSince Mar 17, 2024 Accepting new patients
Chiros Winter Haven LLC Chiropractor CurrentSince Jan 20, 2025 Accepting new patients

Locations

151 1st St S
Ste A
Winter Haven, FL 33880
Phone (863) 268-6552

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1861250185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 TAHOE CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146613",
            "telephone_number": "352-933-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 TAHOE CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146613",
            "telephone_number": "352-933-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALICIA",
        "middle_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "DC, BS, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA102694",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.