Active NPI
Katlyn Schmidt, DC
- Chiropractor
- West Palm Beach, FL
National Provider Identifier
1063936755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12250
- Practice address
- 1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214 - Phone
- (786) 303-6862
- NPI assigned
- Aug 3, 2017
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12250 | FL | Primary |
Addresses
Primary practice location
1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214
Mailing address
1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 33401-2214
Other practice location 1
1323 W Fletcher Ave
Tampa, FL 33612-3310
Phone (813) 968-4293
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 663785 | Medicaid | FL | |
| 1063936755 | Other | INSURANCE |
Other names 1
- Katlyn Gortman
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Drkschmidt@sobewell.com | Camp SoBe Well | |
| CONNECT URL | Drkschmidt@sobewell.com | Camp SoBe Well |
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
Interoperability endpoints
- drkschmidt@sobewell.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1063936755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 PALM BEACH LAKES BLVD STE 1200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 PALM BEACH LAKES BLVD STE 1200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012214",
"telephone_number": "786-303-6862"
}
],
"practiceLocations": [
{
"address_1": "1323 W Fletcher Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336123310",
"country_code": "US",
"telephone_number": "813-968-4293",
"fax_number": "813-968-3182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KATLYN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2023-11-27",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "663785",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "1063936755",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Drkschmidt@sobewell.com",
"affiliation": "Y",
"endpointDescription": "CSBW email",
"affiliationName": "Camp SoBe Well",
"address_1": "1645 Palm Beach Lakes Blvd Ste 1200",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334012214",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Drkschmidt@sobewell.com",
"affiliation": "Y",
"affiliationName": "Camp SoBe Well",
"address_1": "1645 Palm Beach Lakes Blvd Ste 1200",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334012214",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATLYN",
"last_name": "GORTMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.