Individual provider Active NPI

Elizabeth Ann Whooley, D.C.

  • Chiropractor
  • Winter Park, FL
National Provider Identifier
1083710412
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11230 Issued in FL
Practice address
3592 Aloma Avenue
Suite 3
Winter Park, FL 32792-4012
Phone
(407) 706-1420
Fax
(407) 673-4534
NPI assigned
Sep 15, 2006
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11230 FL Primary

Addresses

Primary practice location

3592 Aloma Avenue
Suite 3
Winter Park, FL 32792-4012

Mailing address

3592 Aloma Avenue
Suite 3
Winter Park, FL 32792-4012
Phone (407) 706-1420

Other names 1

  • Mrs. Elizabeth Ann Whooley Kilkenny Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603000763 FL Practitioner - Chiropractic 5294767265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1945 W County Rd
419 Suite 1111
Oviedo, FL 32766-9558
Phone (407) 707-5234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kilkenny Chiropractic, LLC Chiropractor CurrentSince Jun 15, 2022 Accepting new patients
Oviedo Medical Clinic, LLC Chiropractor CurrentSince Mar 30, 2015 Accepting new patients
Dr Eric Janowitz PA Chiropractor PastSince Mar 30, 2015 Accepting new patients
Malchar Chiropractic Center, LTD. Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

1945 W County Road 419
Ste 1111
Chuluota, FL 32766
Phone (407) 707-5234

1791 E Broadway St
Oviedo, FL 32765
Phone (407) 359-2757

3592 Aloma Ave
Ste 3
Winter Park, FL 32792
Phone (407) 677-1660

Organizations & group practices 4

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1083710412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVENUE",
            "address_2": "SUITE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-706-1420",
            "fax_number": "407-673-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVENUE",
            "address_2": "SUITE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-706-1420",
            "fax_number": "407-673-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHOOLEY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WHOOLEY KILKENNY",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.

Verify at the official NPI Registry.