Laura a Weller DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8030 Issued in FL

Legal business name

LAURA A WELLER DC PA

Practice address

2090 MLK St N
St Petersburg, FL 33704

Phone

(727) 894-7528

Fax

(727) 823-6073

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Laura A Weller, DC

Title

Owner President

Phone

(727) 894-7528

Specialties & licenses 1

Addresses

Other names 1

• Laura A Weller DC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Henry Gardner, D.C.

  • Chiropractor
  • St Petersburg, FL
  • NPI 1932237724
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972618569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 MLK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-894-7528",
            "fax_number": "727-823-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 MLK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-894-7528",
            "fax_number": "727-823-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA A WELLER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "727-894-7528",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura A Weller DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Annastasia Cassidy Laster, BCBA
• Rosana Lastra Castellucci, M.D.
• Hannah R Latham
• Rita Latimore, R. PH.
• Latorre Chiropractic, Inc
• Laura Lee Jones LLC
• Laurellwood Facility Inc
• Laurellwood FL Opco LLC
• Laurellwood Opco LLC
• Lauren Hearn PHD LLC

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.