Individual provider Active NPI

Katlyn Schmidt, DC

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1063936755
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12250 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
663785MedicaidFL
1063936755OtherINSURANCE

Other names 1

  • Katlyn Gortman Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

  • Direct secure messaging: 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.

Verify at the official NPI Registry.