Active NPI
Kristen Elise Nelson, DC
- Chiropractor
- Deltona, FL
National Provider Identifier
1144759929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12066
- Practice address
- 1565 Saxon Blvd Ste 103
Deltona, FL 32725-5823 - Phone
- (386) 574-1423
- NPI assigned
- Jun 6, 2017
- 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 | CH12066 | FL | Primary |
Addresses
Primary practice location
1565 Saxon Blvd Ste 103
Deltona, FL 32725-5823
Mailing address
2942 Oak Lea Dr
South Daytona, FL 32119-8565
Other names 1
- Kristen Elise Bogle
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12066 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1144759929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2942 OAK LEA DR",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321198565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 SAXON BLVD STE 103",
"city": "DELTONA",
"state": "FL",
"postal_code": "327255823",
"telephone_number": "386-574-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KRISTEN",
"middle_name": "ELISE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "BOGLE",
"middle_name": "ELISE",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.