NPIMap

Organization Active NPI

Amelia Island Health & Wellness

  • Chiropractor
  • Fernandina Beach, FL
National Provider Identifier
1861796351
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005224 Issued in FL
Legal business name
AMELIA ISLAND HEALTH & WELLNESS
Practice address
5422 First Coast Hwy
Fernandina Beach, FL 32034-5423
Phone
(904) 432-7607
NPI assigned
Dec 27, 2010
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Dr. Mark A. Brown, D.C.NPI 1154425486
Title
Owner/Chiropractor
Phone
(904) 432-7607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005224 FL Primary

Addresses

Primary practice location

5422 First Coast Hwy
Fernandina Beach, FL 32034-5423

Mailing address

5422 First Coast Hwy
Fernandina Beach, FL 32034-5423
Phone (904) 432-7607

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1861796351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 FIRST COAST HWY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345423",
            "telephone_number": "904-432-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 FIRST COAST HWY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345423",
            "telephone_number": "904-432-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA ISLAND HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "904-432-7607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.