Individual provider Active NPI

Casey Lynn Attenberger, DC

  • Chiropractor
  • Debary, FL
National Provider Identifier
1023773264
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13753 Issued in FL
Practice address
2808 Enterprise Rd Ste 101
Debary, FL 32713-2753
Phone
(724) 554-1827
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13753 FL Primary

Addresses

Primary practice location

2808 Enterprise Rd Ste 101
Debary, FL 32713-2753

Mailing address

2808 Enterprise Rd Ste 101
Debary, FL 32713-2753
Phone (724) 554-1827

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@impulsechiro.net Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
CH13753FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1023773264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 ENTERPRISE RD STE 101",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132753",
            "telephone_number": "724-554-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 ENTERPRISE RD STE 101",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132753",
            "telephone_number": "724-554-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTENBERGER",
        "first_name": "CASEY",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@impulsechiro.net",
            "affiliation": "N",
            "endpointDescription": "info@impulsechiro.net",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2808 Enterprise Rd Ste 101",
            "city": "Debary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327132753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.