Je'NE Nycole Jordahl, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9827 Issued in FL

Practice address

4705 S Clyde Morris Blvd
Port Orange, FL 32129-4103

Phone

(386) 763-2718

NPI assigned

Oct 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Je'NE Nycole Randall Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmer College FoundationGroup PAC ID 1557266863, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Palmer College Foundation

  • Chiropractor
  • Port Orange, FL
  • NPI 1568552255
  Medicare reassignment Care Compare group NPD
• Palmer College Foundation

  • Chiropractor
  • Davenport, IA
  • NPI 1174535181
  NPD
• Carnol Health Services

  • Chiropractor
  • Viera, FL
  • NPI 1730378746
  NPD (past)
• Dr Tanya Schrumpf DC Inc

  • Rehabilitation Chiropractor
  • Titusville, FL
  • NPI 1841404241
  NPD (past)
• Medical Partners of Florida LLC

  • Neurological Surgery Physician
  • Titusville, FL
  • NPI 1821575960
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1881920221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 MILL ROAD LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274865",
            "telephone_number": "386-299-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 S CLYDE MORRIS BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294103",
            "telephone_number": "386-763-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAHL",
        "first_name": "JE'NE",
        "middle_name": "NYCOLE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006099400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JE'NE",
            "last_name": "RANDALL",
            "middle_name": "NYCOLE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lakesha Jones
• Nina Jones
• Sade' L Jones
• Shakeiva Jones
• Jordahl Chiropractic, LLC
• Jessica Maya Jordan, OD
• Abdul Q. Jumani, M.D,FACP.
• Terry L. Kahn, DC
• Cecelia Kane
• Jacob A Kaple, OTR/L

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.