Kristal Jade Henry, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5119 Issued in NC

Practice address

1745 City Center Blvd Ste B
Elizabeth City, NC 27909-8953

Phone

(252) 338-3206

NPI assigned

Jan 2, 2020

Sex

Female

Sole proprietor

No

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 NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Albemarle Chiropractic Offices, PA

  • Medical Specialty Clinic/Center
  • Elizabeth City, NC
  • NPI 1336463454
  Medicare reassignment NPD

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1053950469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NEW JERSEY AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095937",
            "telephone_number": "757-817-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 CITY CENTER BLVD STE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098953",
            "telephone_number": "252-338-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KRISTAL",
        "middle_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Hemingway
• Samantha Cara Hemphill, FNP
• Kathryn Henderson, HIS
• Thomas J Henderson, M.S., CCC-A
• Michelle Henning, DO
• Madahari Tyler Aldhem Henry, MD
• Melissa Dawn Henry, LPC, LCMHC
• Heritage Care of Elizabeth City, LLC
• Albrecht Mark Heyder, MD
• Chiarina Simeone Heyder, PA-C

• Chiropractor in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.