Caroline Lee Rissacher, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7084 Issued in FL

Practice address

3215 NW Federal Hwy
Jensen Beach, FL 34957-4451

Phone

(772) 692-7899

Fax

(772) 692-7891

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861618571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574451",
            "telephone_number": "772-692-7899",
            "fax_number": "772-692-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574451",
            "telephone_number": "772-692-7899",
            "fax_number": "772-692-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISSACHER",
        "first_name": "CAROLINE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "7084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70173",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renew Wellness and Recovery LLC
• Restore Hope of Jensen Beach, LLC
• Richard Higinbotham PA
• Doris A Riggs, MASTERS DEGREE IN CO
• Dennis R Rinaldi, DMD PA
• Todd Raynor Rissacher, DC
• River House Wellness, LLC
• Barbara Ann Robert, PH.D.
• Emilee Robins, LCSW
• Ileana Rodriguez

• Chiropractor in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Chiropractor in Florida

• 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.
• 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.