Jonnathan Alberto Camacho, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH112187 Issued in FL

Practice address

18857 State Road 54
Lutz, FL 33558-8201

Phone

(214) 907-6611

Fax

(813) 756-8583

NPI assigned

Dec 4, 2012

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JNM Wellness

  dba Suncoast Chiropractic and Rehab

  • Chiropractor
  • Lutz, FL
  • NPI 1922691260
  NPD

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1922343706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18857 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588201",
            "telephone_number": "305-371-3339",
            "fax_number": "305-371-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18857 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588201",
            "telephone_number": "214-907-6611",
            "fax_number": "813-756-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "JONNATHAN",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "509",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH112187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drcamacho@suncoastchirorehab.com",
            "affiliation": "N",
            "endpointDescription": "Email adress",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "18857 State Road 54",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335588201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joe Calhoun, LCSW
• Jennifer Lynn Call, PA-C
• Gabriela Calle
• Kate Lillian Callinan
• Amanda Kirsten Calta, LCSW
• Kalyn V Cameron, APRN
• April Veronica Campbell, MSW
• Cierra Denise Cangeme
• Pavel Capote, MD
• Erisdanys Carballeda Puebla, APRN

• Chiropractor in Lutz, FL
• Providers in Lutz, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.