DR. SUZANNE AMANDA SEEKINS, DC - NPI NUMBER 1972609089

Summary

Provider Name: DR. SUZANNE AMANDA SEEKINS, DC

NPI Number: 1972609089

Clasification: Chiropractor (111N00000X)

Organization: JOSEPH F. UNGER, JR., D.C., A PROFESSIONAL CORPORATION

Address:
2960 IMMOKALEE RD
SUITE 1
NAPLES, FL
ZIP 34110

Phone Number: (239) 513-9800



Detailed Information

DR. Suzanne Amanda Seekins, DC is a chiropractor in Naples, FL with 25 years of experience. The provider is 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. The assigned NPI number for this provider is 1972609089 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year: 1990

The provider's business address is:

2960 IMMOKALEE RD
SUITE 1
NAPLES, FL
ZIP 34110-439
Phone: (239) 513-9800
Fax: (239) 513-0043

The enumeration date for this NPI number is 9/15/2006 and was last updated on 3/6/2015.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 111N00000X Chiropractor CH7341 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 9931126 OTHER FL AETNA PIN
2 N199359 OTHER FL HEALTHYKIDS
3 N199359 OTHER FL STAYWELL
4 N199359 OTHER FL WELLCARE
5 55621Z MEDICARE UPIN FL
6 1762118 OTHER FL AETNA HMO PIN
7 55621 OTHER FL BCBS
8 K0166 OTHER FL MEDICARE GROUP ID
9 6312490 OTHER FL CIGNA ID

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1972609089 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name SEEKINS Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
4 Provider First Name SUZANNE The first name of the provider, if the provider is an individual.
5 Provider Middle Name AMANDA The first name of the provider, if the provider is an individual.
6 Provider Name Prefix Text DR. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
7 Provider Credential Text DC The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
8 Provider Other Last Name STOHLER Other last name by which the provider being identified is or has been known.
9 Provider Other First Name SUZANNE Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
10 Provider Other Middle Name AMANDA Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider middle name’’ if the provider is or has been known by a different last name only.
11 Provider Other Name Prefix Text DR. The other name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
12 Provider Other Last Name Type Code 1 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
13 Provider First Line Business Practice Location Address 2960 IMMOKALEE RD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
14 Provider Second Line Business Practice Location Address SUITE 1 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
15 Provider Business Practice Location Address City Name NAPLES The city name in the location address of the provider being identified.
16 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
17 Provider Business Practice Location Address Postal Code 341101439 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
18 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
19 Provider Business Practice Location Address Telephone Number 2395139800 The telephone number associated with the location address of the provider being identified.
20 Provider Business Practice Location Address Fax Number 2395130043 The fax number associated with the location address of the provider being identified.
21 Provider Enumeration Date 9/15/2006 The date the provider was assigned a unique identifier (assigned an NPI).
22 Last Update Date 3/6/2015 The date that a record was last updated or changed.
23 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
24 Healthcare Provider Taxonomy Code 1 111N00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
25 Provider License Number 1 CH7341 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
26 Provider License Number State Code 1 FL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
27 Healthcare Provider Primary Taxonomy Switch 1 Y
28 Other Provider Identifier 1 9931126 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier State 1 FL
31 Other Provider Identifier Issuer 1 AETNA PIN
32 Other Provider Identifier 2 N199359 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
33 Other Provider Identifier Type Code 2 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
34 Other Provider Identifier State 2 FL
35 Other Provider Identifier Issuer 2 HEALTHYKIDS
36 Other Provider Identifier 3 N199359 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
37 Other Provider Identifier Type Code 3 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
38 Other Provider Identifier State 3 FL
39 Other Provider Identifier Issuer 3 STAYWELL
40 Other Provider Identifier 4 N199359 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
41 Other Provider Identifier Type Code 4 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
42 Other Provider Identifier State 4 FL
43 Other Provider Identifier Issuer 4 WELLCARE
44 Other Provider Identifier 5 55621Z Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
45 Other Provider Identifier Type Code 5 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
46 Other Provider Identifier State 5 FL
47 Other Provider Identifier 6 1762118 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
48 Other Provider Identifier Type Code 6 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
49 Other Provider Identifier State 6 FL
50 Other Provider Identifier Issuer 6 AETNA HMO PIN
51 Other Provider Identifier 7 55621 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
52 Other Provider Identifier Type Code 7 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
53 Other Provider Identifier State 7 FL
54 Other Provider Identifier Issuer 7 BCBS
55 Other Provider Identifier 8 K0166 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
56 Other Provider Identifier Type Code 8 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
57 Other Provider Identifier State 8 FL
58 Other Provider Identifier Issuer 8 MEDICARE GROUP ID
59 Other Provider Identifier 9 6312490 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
60 Other Provider Identifier Type Code 9 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
61 Other Provider Identifier State 9 FL
62 Other Provider Identifier Issuer 9 CIGNA ID
63 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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