Individual provider Active NPI

Kristy Lee Zinnes Downey, D.C.

  • Chiropractor
  • Swampscott, MA
National Provider Identifier
1073670485
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3431 Issued in MA
Practice address
186 Burrill St
Swampscott, MA 01907-1835
Phone
(781) 593-2399
NPI assigned
Jan 3, 2007
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30386 CA
Chiropractor 111N00000X 3431 MA Primary

Addresses

Primary practice location

186 Burrill St
Swampscott, MA 01907-1835

Mailing address

186 Burrill St
Swampscott, MA 01907-1835
Phone (781) 593-2388

Other identifiers 2

IdentifierTypeStateIssuer
DC30386OtherCACALIFORNIA BOARD OF CHIROPRACTIC
3431OtherMAMASSACHUSETTS BOARD OF CHHIROPRACTIC

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
DC30386CAMDChiropractor
30386CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Life Chiropractic Chiropractor Past Accepting new patients
Full Potential Health PC Chiropractor PastSince Sep 12, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1073670485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BURRILL ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071835",
            "telephone_number": "781-593-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 BURRILL ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071835",
            "telephone_number": "781-593-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "KRISTY",
        "middle_name": "LEE ZINNES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30386",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF CHIROPRACTIC",
            "identifier": "DC30386",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS BOARD OF CHHIROPRACTIC",
            "identifier": "3431",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.