Active NPI
Joanielee Kriz, D.C.
- Chiropractor
- Titusville, FL
National Provider Identifier
1083662993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8422
- Practice address
- 2203 Garden Street
Titusville, FL 32796 - Phone
- (321) 269-1999
- Fax
- (321) 264-2440
- NPI assigned
- May 4, 2006
- 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 | CH8422 | FL | Primary |
Addresses
Primary practice location
2203 Garden Street
Titusville, FL 32796
Mailing address
5606 River Oaks Drive
Titusville, FL 32780
Phone (321) 268-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381582000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090828000101 | FL | Practitioner - Chiropractic | 9032264924 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2215 Garden St
Titusville, FL 32796-2543
Phone (321) 268-2210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Spine Center, LLC | Current | Accepting new patients | |
| Titusville Total Healthcare LLC | Past | Accepting new patients |
Locations
2215 Garden St
Titusville, FL 32796
Phone (321) 268-2210
1901 Jess Parrish Ct
Titusville, FL 32796
Phone (321) 268-1999
Networks
- Freedom Health HMO Network
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 and National Provider Directory roles.
-
- Neurology Chiropractor
- Titusville, FL
- NPI 1184826489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1083662993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 RIVER OAKS DRIVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "32780",
"telephone_number": "321-268-1999",
"fax_number": "321-264-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 GARDEN STREET",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "32796",
"telephone_number": "321-269-1999",
"fax_number": "321-264-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIZ",
"first_name": "JOANIELEE",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381582000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.