City for Life Wellness Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CITY FOR LIFE WELLNESS CLINIC LLC

Practice address

6463 W Commercial Blvd
Tamarac, FL 33319-2110

Phone

(954) 488-2398

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Gina McCarthy, D.C.

Title

Clinic Director

Phone

(954) 488-2398

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1063008696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192110",
            "telephone_number": "954-488-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192110",
            "telephone_number": "954-488-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY FOR LIFE WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "954-488-2398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "endpointDescription": "EHR Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6463 W Commercial Blvd",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333192110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kamlesh Christian, PHARM. D.
• Christus Life Renewal Center
• Ingrid Ann Chung, LPN
• Lira Christine Ciappesoni, AP, DOM
• Katherine Castro Cipriano, LCSW
• City of Tamarac
• CJ Healing Arts
• Mareinne Lou Pasco Claridad, ARNP
• Chanin Paige Clark, PT
• Shanna Kay Clarke, APRN

• Chiropractor in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.