Individual provider Active NPI

Avalon L Liscio

  • Chiropractor
  • Naples, FL
National Provider Identifier
1245917509
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14333 Issued in FL
Practice address
18 Bobolink CT
Unit a
Naples, FL 34105-2468
Phone
(239) 821-0434
NPI assigned
Jun 29, 2023
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14333 FL Primary

Addresses

Primary practice location

18 Bobolink CT
Unit a
Naples, FL 34105-2468

Mailing address

18 Bobolink CT
Unit a
Naples, FL 34105-2468
Phone (239) 821-0434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907003337 FL Practitioner - Chiropractic 2961866074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Synergy Integrated Healthcare IncGroup PAC ID 9436469194, 9 clinicians

Practice addresses (Care Compare)

13020 Livingston Rd
Suite 14
Naples, FL 34105-5023
Phone (239) 263-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14333FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Integrated Healthcare Inc Chiropractor CurrentSince Aug 1, 2023 Accepting new patients
Synergy Chiropractic and Health Center PA Chiropractor PastSince Aug 1, 2023 Accepting new patients

Locations

13020 Livingston Rd
Ste 14
Naples, FL 34105
Phone (239) 263-3330

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1245917509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BOBOLINK CT",
            "address_2": "UNIT A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341052468",
            "telephone_number": "239-821-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BOBOLINK CT",
            "address_2": "UNIT A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341052468",
            "telephone_number": "239-821-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCIO",
        "first_name": "AVALON",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.