Fanney Spine and Rehab, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10331 Issued in FL

Legal business name

FANNEY SPINE AND REHAB, P.A.

Practice address

4241 NW American LN
Lake City, FL 32055-4881

Phone

(407) 616-1982

NPI assigned

Dec 12, 2012

Last updated

Dec 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daryn Fanney, D.C.NPI 1376826164

Title

Director

Phone

(407) 616-1982

Specialties & licenses 1

Addresses

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.

• Daryn Fanney, D.C.

  • Chiropractor
  • Portland, OR
  • NPI 1376826164
  Authorized official Same address or phone

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1891031282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CAROLINA AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637010",
            "telephone_number": "407-616-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554881",
            "telephone_number": "407-616-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNEY SPINE AND REHAB, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "FANNEY",
        "authorized_official_first_name": "DARYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-616-1982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad A Faisal, M.D.
• Faith Works in Motion, Inc
• Michelle A Faller, NP-C
• Family & Love First Homecare LLC
• Family Health Center of Columbia County, Inc. (selected)
• David Grafton Fanney, DO
• Natalie E Farmer
• Marissa Farris
• Joyce Janice Feagle, LCSW
• Ramsey Roberts Feagle

• Chiropractor in Lake City, FL
• Providers in Lake City, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.