Individual provider Active NPI

Beth Anne Berinato

  • Chiropractor
  • West Melbourne, FL
National Provider Identifier
1083948814
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11357 Issued in FL
Practice address
145 Palm Bay Rd NE
Suite 120
West Melbourne, FL 32904-8601
Phone
(321) 725-8778
NPI assigned
Sep 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11357 FL Primary

Addresses

Primary practice location

145 Palm Bay Rd NE
Suite 120
West Melbourne, FL 32904-8601

Mailing address

145 Palm Bay Rd NE
Suite 120
West Melbourne, FL 32904-8601
Phone (321) 725-8778

Other identifiers 1

IdentifierTypeStateIssuer
IA310ZOtherFLMEDICARE PTAN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clow Integrated Medical Center PA CurrentSince Sep 8, 2024 Accepting new patients
Decesare Chiropractic Office PC Chiropractor Past Accepting new patients

Locations

145 Palm Bay Rd NE
Ste 120
West Melbourne, FL 32904
Phone (321) 725-8778

145 Palm Bay Rd NE
Ste 121
West Melbourne, FL 32904
Phone (321) 725-8778

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.

NPI Registry JSON

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

{
    "created_epoch": "1254009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1083948814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PALM BAY RD NE",
            "address_2": "SUITE 120",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048601",
            "telephone_number": "321-725-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PALM BAY RD NE",
            "address_2": "SUITE 120",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329048601",
            "telephone_number": "321-725-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERINATO",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-27",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IA310Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.