Active NPI
Alexis Kathryn Winters, DC
- Chiropractor
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH14729
- Practice address
- 21754 State Road 54
Lutz, FL 33549-6901 - Phone
- (813) 428-5648
- NPI assigned
- Nov 1, 2021
- Last updated
- Nov 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6905 | MN | |
| Chiropractor | 111N00000X | CH14729 | FL | Primary |
Addresses
Primary practice location
21754 State Road 54
Lutz, FL 33549-6901
Mailing address
28661 Birdwatch Loop Apt 306
Wesley Chapel, FL 33543-3731
Phone (651) 246-8984
Other practice location 1
5143 W 98th St
Bloomington, MN 55437-2040
Phone (952) 881-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 1St St S
Suite a
Winter Haven, FL 33880-3000
Phone (863) 268-6552
21754 State Rd
54 Suite 101
Lutz, FL 33549-6901
Phone (813) 428-5648
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6905 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiros on 54 LLC | Chiropractor | Current | Accepting new patients |
| Chiros Winter Haven LLC | Chiropractor | Current | Accepting new patients |
Locations
21754 State Road 54
Ste 101
Lutz, FL 33549
Phone (813) 428-5648
151 1st St S
Ste A
Winter Haven, FL 33880
Phone (863) 268-6552
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, 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": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1144985656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28661 BIRDWATCH LOOP APT 306",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335433731",
"telephone_number": "651-246-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21754 STATE ROAD 54",
"city": "LUTZ",
"state": "FL",
"postal_code": "335496901",
"telephone_number": "813-428-5648"
}
],
"practiceLocations": [
{
"address_1": "5143 W 98th St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554372040",
"country_code": "US",
"telephone_number": "952-881-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINTERS",
"first_name": "ALEXIS",
"middle_name": "KATHRYN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6905",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH14729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.