Active NPI
Kimberly Sharon Luzzi, D.C.
- Chiropractor
- Cambridge, MA
National Provider Identifier
1023165727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2242
- Practice address
- 35 Magnolia Ave Apt 6
Cambridge, MA 02138-3224 - Phone
- (617) 512-7771
- Fax
- (617) 512-7771
- NPI assigned
- Jan 4, 2007
- Last updated
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Chiropractor | 111N00000X | 2242 | MA | Primary |
Addresses
Primary practice location
35 Magnolia Ave Apt 6
Cambridge, MA 02138-3224
Mailing address
35 Magnolia Ave Apt 6
Cambridge, MA 02138-3224
Phone (617) 512-7771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 20, 2024 through Jan 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2242 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1023165727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MAGNOLIA AVE APT 6",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383224",
"telephone_number": "617-512-7771",
"fax_number": "617-512-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MAGNOLIA AVE APT 6",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383224",
"telephone_number": "617-512-7771",
"fax_number": "617-512-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZZI",
"first_name": "KIMBERLY",
"middle_name": "SHARON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.