Organization Active NPI

Thrive Chiropractic & Yoga LLC

Doing business as Thrive Chiropractic, Nutrition, & Yoga

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1942682067
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11162 Issued in FL
Legal business name
THRIVE CHIROPRACTIC & YOGA LLC
Doing business as
Thrive Chiropractic, Nutrition, & Yoga
Practice address
193 San Marco Ave
Saint Augustine, FL 32084-2733
Phone
(904) 687-4499
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Dr. Jonathan Michael Barnewolt, D.C.
Title
Managing Member
Phone
(904) 615-1319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 11162 FL Primary

Addresses

Primary practice location

193 San Marco Ave
Saint Augustine, FL 32084-2733

Mailing address

193 San Marco Ave
Saint Augustine, FL 32084-2733
Phone (904) 615-1319

Other names 1

  • Thrive Chiropractic, Nutrition, & Yoga Doing business as

National Provider Directory

National Provider Directory

Locations

193 San Marco Ave
Saint Augustine, FL 32084
Phone (904) 687-4499

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": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1942682067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 SAN MARCO AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320842733",
            "telephone_number": "904-615-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 SAN MARCO AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320842733",
            "telephone_number": "904-687-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE CHIROPRACTIC & YOGA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "BARNEWOLT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-615-1319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Chiropractic, Nutrition, & Yoga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.