Organization Active NPI

Dr Ellen Fitzenrider PLLC

Doing business as Colley Avenue Chiropractic and Bodyworks

  • Chiropractor
  • Norfolk, VA
National Provider Identifier
1093990244
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR ELLEN FITZENRIDER PLLC
Doing business as
Colley Avenue Chiropractic and Bodyworks
Practice address
1906 Colley Ave
Norfolk, VA 23517-1613
Phone
(757) 627-3657
Fax
(757) 627-2061
NPI assigned
Jan 7, 2008
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. Ellen E Fitzenrider, D.C.
Title
Owner
Phone
(757) 627-6357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X VA Primary

Addresses

Primary practice location

1906 Colley Ave
Norfolk, VA 23517-1613

Mailing address

1906 Colley Ave
Norfolk, VA 23517-1613
Phone (757) 627-3657

Other names 1

  • Colley Avenue Chiropractic and Bodyworks Doing business as

National Provider Directory

National Provider Directory

Locations

1902 Colley Ave
Norfolk, VA 23517
Phone (757) 627-3657

1906 Colley Ave
Norfolk, VA 23517
Phone (757) 627-3657

811 Brandon Ave
Norfolk, VA 23517
Phone (757) 627-3657

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1093990244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 COLLEY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171613",
            "telephone_number": "757-627-3657",
            "fax_number": "757-627-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 COLLEY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171613",
            "telephone_number": "757-627-3657",
            "fax_number": "757-627-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ELLEN FITZENRIDER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "FITZENRIDER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-627-6357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colley Avenue Chiropractic and Bodyworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.