Active NPI
Fairhope Health & Wellness Center
- Chiropractor
- Fairhope, AL
National Provider Identifier
1194240739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2250
- Legal business name
- FAIRHOPE HEALTH & WELLNESS CENTER
- Practice address
- 909B Plantation Blvd
Fairhope, AL 36532-2949 - Phone
- (251) 990-8188
- NPI assigned
- Aug 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Jean Kerr Patrick, DC
- Title
- Owner
- Phone
- (251) 990-8188
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2250 | AL | Primary |
Addresses
Primary practice location
909B Plantation Blvd
Fairhope, AL 36532-2949
Mailing address
909B Plantation Blvd
Fairhope, AL 36532-2949
Phone (251) 990-8188
Other names 1
- Healing Touch Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180620000313 | AL | Part B Supplier - Clinic/Group Practice | 6103171921 |
Receives reassigned benefits from 3 practitioners Practice locations: Fairhope, AL |
National Provider Directory
National Provider DirectoryLocations
909B Plantation Blvd
Fairhope, AL 36532
Phone (251) 990-8188
119 Professional Park Dr
Ste B
Fairhope, AL 36532
Phone (251) 990-8188
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1194240739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909B PLANTATION BLVD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322949",
"telephone_number": "251-990-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909B PLANTATION BLVD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322949",
"telephone_number": "251-990-8188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRHOPE HEALTH & WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-04",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KERR PATRICK",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-990-8188",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AL",
"license": "2250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healing Touch Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.