Individual provider Active NPI

Alexis Kathryn Winters, DC

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1144985656
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14729 Issued in FL
Practice address
21754 State Road 54
Lutz, FL 33549-6901
Phone
(813) 428-5648
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240611002704 FL Practitioner - Chiropractic 0143619445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiros Winter Haven LLCGroup PAC ID 1052843547, 2 clinicians
Chiros on 54 LLCGroup PAC ID 8224373352, 2 clinicians

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

LicenseStateTypeSpecialty
CH14729FLMDChiropractor
6905MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiros Winter Haven LLC Chiropractor CurrentSince Sep 7, 2024 Accepting new patients
Chiros on 54 LLC Chiropractor CurrentSince Apr 17, 2024 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.