DR. JORDAN ELIZABETH DIETERLE (NPI# 1386172864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386172864 |
| Entity Type | Individual |
| Full Name | DR. JORDAN ELIZABETH DIETERLE |
| Credential | DC |
| Practice Address |
3704 Webber St Sarasota FL 34232-4416 |
| Mailing Address |
3443 Tamiami Trl Ste C Port Charlotte FL 33952-8159 |
| Practice Telephone | 9415546506 |
| Practice Fax Number | 9413159922 |
| Mailing Telephone | 9416252667 |
| Mailing Fax Number | 9413159922 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH12104 | FL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3443 Tamiami Trl Ste C, Port Charlotte, FL 339528159 | (941) 625-2667 | 9413159922 |
| Street Address |
3704 WEBBER ST |
| City | SARASOTA |
| State | FL |
| Zip Code | 34232-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1346736923 | Coastal In Home Senior Care | Adult Companion | 2609 Briar Oak Circle, Sarasota, FL 34232 | 2018-07-06 |
| 1508215450 | Stacy Centeno | Nurse Practitioner | 943 S Beneva Rd Ste 210, Sarasota, FL 34232 | 2016-06-10 |
| 1912307265 | Luis Guillermo Guzman | Internal Medicine | 943 S Beneva Rd Ste 201, Sarasota, FL 34232 | 2014-08-23 |
| 1225445190 | At Talitha Cumi Home Care, Inc | Home Health | 4647 Fruitville Rd, Suite 3388, Sarasota, FL 34232 | 2014-07-12 |
| 1790100543 | Ph Sarasota, LLC | Assisted Living Facility | 743 South Beneva Rd, Sarasota, FL 34232 | 2014-03-03 |
| 1437570264 | Leigh Ann Spohn | Occupational Therapy Assistant | 5115 Lahaina Dr., Sarasota, FL 34232 | 2013-12-20 |
| 1770917023 | Florida Mobility Equipment Company LLC | Durable Medical Equipment & Medical Supplies | 5975 Cattlemen Lane, Sarasota, FL 34232 | 2013-08-22 |
| 1912345109 | Cb Medical LLC | Home Health | 619 Cattlemen Rd, Unit 54, Sarasota, FL 34232 | 2013-06-10 |
| 1598009318 | Margaret Donaker | Speech-Language Pathologist | 2727 Teal Ave., Sarastoa, FL 34232 | 2012-11-16 |
| Find all providers in zip 34232 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931010 | Spinewell Inc | Chiropractor | 650 Central Ave Ste 3, Sarasota, FL 34236-4090 | 2020-10-29 |
| 1184256398 | Freddie Scott Davis | Chiropractor | 4083 Groveland Ave, Sarasota, FL 34231-7623 | 2020-02-05 |
| 1730728221 | East of 75 Chiropractic and Medical Care | Chiropractor | 40 Sarasota Center Blvd., Suite 103, Sarasota, FL 34240-8758 | 2019-12-31 |
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1720647308 | Ryan J Vanlandschoot | Chiropractor | 3425 University Pkwy Unit 101, Sarasota, FL 34243-4271 | 2019-06-07 |
| 1669970372 | Shelby Lynn Ness | Chiropractor | 8830 S Tamiami Trl Ste 130, Sarasota, FL 34238-3130 | 2018-01-28 |
| 1013421916 | Charles Patrick Craig | Chiropractor | 2477 Stickney Point Rd Ste 202a, Sarasota, FL 34231-6850 | 2017-11-30 |
| 1053836411 | Daniel J. Knapp, D.c. LLC | Chiropractor | 3982 Bee Ridge Rd # H, Sarasota, FL 34233-1210 | 2017-08-07 |
| 1225564057 | Jianina Gabriela Foltz | Chiropractor | 3544 Clark Rd, Sarasota, FL 34231-8408 | 2017-05-11 |
| 1447784111 | Madeline Marie Mo'hyla | Chiropractor | 777 S Palm Ave Unit 8, Sarasota, FL 34236-7746 | 2017-04-19 |
| Find all providers in SARASOTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.