Active NPI
Whitney Robin Kelly, DC
- Chiropractor
- Mount Dora, FL
National Provider Identifier
1245016286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH14778
- Practice address
- 343 Stanley Bell Dr
Mount Dora, FL 32757-5919 - Phone
- (561) 436-6766
- NPI assigned
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | CH14778 | FL | Primary |
Addresses
Primary practice location
343 Stanley Bell Dr
Mount Dora, FL 32757-5919
Mailing address
343 Stanley Bell Dr
Mount Dora, FL 32757-5919
Phone (561) 436-6766
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 |
|---|---|---|---|
| CH14778 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revamp Chiropractic | Chiropractor | Current | 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.
-
- Chiropractor
- Eustis, FL
- NPI 1710879002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1245016286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 STANLEY BELL DR",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327575919",
"telephone_number": "561-436-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 STANLEY BELL DR",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327575919",
"telephone_number": "561-436-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "WHITNEY",
"middle_name": "ROBIN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH14778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.