Kevin Blair Harrison, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 9691 Issued in FL

Practice address

512 W Duval St
Lake City, FL 32055-3899

Phone

(386) 752-3877

Fax

(386) 752-3544

NPI assigned

Jan 5, 2009

Last updated

Aug 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• FL HMO
• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• FL HMO D-SNP
• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• FL PPO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• FL HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin B Harrison DC LLC

  • Chiropractor
  • Lake Butler, FL
  • NPI 1699901447
  Medicare reassignment NPD Authorized official
• Lake City Chiropractic and Massage

  • Chiropractor
  • Lake City, FL
  • NPI 1811179781
  NPD (past)
• Resolutions Health Alliance, P.a.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake City, FL
  • NPI 1417100140
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1013153527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553899",
            "telephone_number": "386-752-3877",
            "fax_number": "386-752-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553899",
            "telephone_number": "386-752-3877",
            "fax_number": "386-752-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KEVIN",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-05",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harper Lake Operations, LLC (The Canopy at Harper Lake)
• Aaronia Harps
• Amanda Lynne Harrell, PTA
• Tammy Harris
• Bobby E Harrison, MD
• Ashley Hart-McGlynn, BCBA
• Shonda Latricia Hart-Wright, LMHC
• Aaron Hart
• Latasha Harten-Jones, LPN
• Clara Lynn Harvey, DMD

• Chiropractor in Lake City, FL
• Providers in Lake City, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.