Active NPI
Amanda Marie Gottschalk, D.C.
- Chiropractor
- Tarpon Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10527
- Practice address
- 247 S Huey Ave
Tarpon Springs, FL 34689-4205 - Phone
- (727) 824-8181
- NPI assigned
- Dec 20, 2010
- Last updated
- Jun 9, 2023
- 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 | 2322 | AL | |
| Chiropractor | 111N00000X | CH 10527 | FL | Primary |
Addresses
Primary practice location
247 S Huey Ave
Tarpon Springs, FL 34689-4205
Mailing address
14100 58TH St N
Clearwater, FL 33760-9900
Phone (727) 824-8181
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
247 S Huey Ave
Tarpon Springs, FL 34689-4205
Phone (727) 824-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2322 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Community Health Center of Pinellas Inc | Current | Accepting new patients |
Locations
14100 58th St N
Clearwater, FL 33760
14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224
707 Druid Rd E
Clearwater, FL 33756
Phone (727) 461-1439
12420 130th Ave N
Largo, FL 33774
Phone (727) 587-7729
7550 43rd St N
Pinellas Park, FL 33781
Phone (727) 290-4222
1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701
4950 34th St N
St Petersburg, FL 33714
612 Dr Martin Luther King Jr St N
St Petersburg, FL 33705
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
247 S Huey Ave
Tarpon Springs, FL 34689
Phone (727) 944-3828
Organizations & group practices 3
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.
-
dba Evara Health
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1467873315
-
dba Evara Health
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1114612777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1306149943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337609900",
"telephone_number": "727-824-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 S HUEY AVE",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346894205",
"telephone_number": "727-824-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTSCHALK",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-20",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2322",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.