Individual provider Active NPI

Melinda Tolitsky, D.C.

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1114278199
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10335 Issued in FL
Practice address
309 Kingsley Lake Dr
Suite 904
Saint Augustine, FL 32092-3047
Phone
(904) 547-2435
Fax
(904) 547-2419
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10335 FL Primary

Addresses

Primary practice location

309 Kingsley Lake Dr
Suite 904
Saint Augustine, FL 32092-3047

Mailing address

309 Kingsley Lake Dr
Suite 904
Saint Augustine, FL 32092-3047
Phone (904) 547-2435

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CH 10335FLMDChiropractor
5375AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Johns Family Chiropractic Inc Chiropractor PastSince Feb 18, 2013 Accepting new patients

Organizations & group practices 1

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1114278199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 KINGSLEY LAKE DR",
            "address_2": "SUITE 904",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923047",
            "telephone_number": "904-547-2435",
            "fax_number": "904-547-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 KINGSLEY LAKE DR",
            "address_2": "SUITE 904",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923047",
            "telephone_number": "904-547-2435",
            "fax_number": "904-547-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLITSKY",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.