Active NPI
Laura Ann Kinkead, D.C.
- Nutrition Chiropractor
- New Port Richey, FL
National Provider Identifier
1003880337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH6612
- Practice address
- 6145 Grand Blvd
New Port Richey, FL 34652-2605 - Phone
- (727) 849-5077
- Fax
- (727) 849-7901
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH6612 | FL | Primary |
Addresses
Primary practice location
6145 Grand Blvd
New Port Richey, FL 34652-2605
Mailing address
6145 Grand Blvd
New Port Richey, FL 34652-2605
Phone (727) 849-5077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380322800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1003880337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6145 GRAND BLVD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346522605",
"telephone_number": "727-849-5077",
"fax_number": "727-849-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6145 GRAND BLVD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346522605",
"telephone_number": "727-849-5077",
"fax_number": "727-849-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINKEAD",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH6612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380322800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.