Individual provider Active NPI

Sydney Goodijohn

  • Chiropractor
  • Lake Mary, FL
National Provider Identifier
1902283138
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11296 Issued in FL
Practice address
1343 S International Pkwy
Lake Mary, FL 32746-1401
Phone
(407) 792-0705
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11296 FL Primary

Addresses

Primary practice location

1343 S International Pkwy
Lake Mary, FL 32746-1401

Mailing address

1343 S International Pkwy
Lake Mary, FL 32746-1401
Phone (407) 792-0705

Other practice location 1

483 N Semoran Blvd Ste 104
Winter Park, FL 32792-3800
Phone (407) 772-2225

Other practice location 2

110 N Kirkman Rd
Orlando, FL 32811-1404
Phone (407) 291-1000

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Healthcare, LLC Chiropractor PastSince Jul 30, 2024 Accepting new patients
Mauricio Chiropractic Clinics PA Chiropractor PastSince Jun 6, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sydney.goodijohn@cccl.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1902283138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 S INTERNATIONAL PKWY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461401",
            "telephone_number": "407-792-0705",
            "fax_number": "407-792-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 S INTERNATIONAL PKWY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461401",
            "telephone_number": "407-792-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 N Semoran Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923800",
            "country_code": "US",
            "telephone_number": "407-772-2225",
            "fax_number": "407-772-0302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 N Kirkman Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328111404",
            "country_code": "US",
            "telephone_number": "407-291-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODIJOHN",
        "first_name": "SYDNEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.