Active NPI
Thrive Chiropractic & Yoga LLC
Doing business as Thrive Chiropractic, Nutrition, & Yoga
- Chiropractor
- St Augustine, FL
National Provider Identifier
1942682067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 11162
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- St Augustine, FL
- NPI 1548642085
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.