Active NPI
Susan M Schoonmaker, DC
- Chiropractor
- Ellenton, FL
National Provider Identifier
1861608846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH4255
- Practice address
- 7032 US Hwy 301 North
Simple Relief Wellness Center
Ellenton, FL 34222 - Phone
- (727) 709-5636
- NPI assigned
- May 15, 2007
- 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 | CH4255 | FL | Primary |
Addresses
Primary practice location
7032 US Hwy 301 North
Simple Relief Wellness Center
Ellenton, FL 34222
Mailing address
PO Box 5880
Clearwater, FL 33758
Phone (727) 709-5636
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 |
|---|---|---|---|
| CH4255 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861608846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5880",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33758",
"telephone_number": "727-709-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7032 US HWY 301 NORTH",
"address_2": "SIMPLE RELIEF WELLNESS CENTER",
"city": "ELLENTON",
"state": "FL",
"postal_code": "34222",
"telephone_number": "727-709-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOONMAKER",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH4255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.