Individual provider Active NPI

Caitlin Elise Sullivan Cintron, D.C.

  • Chiropractor
  • Palm Harbor, FL
National Provider Identifier
1306366224
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12123 Issued in FL
Practice address
2150 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-5363
Phone
(727) 241-9095
Fax
(727) 245-8880
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12123 FL Primary

Addresses

Primary practice location

2150 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-5363

Mailing address

2150 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-5363
Phone (727) 241-9095

Other names 1

  • Caitlin Elise Sullivan Former name

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

LicenseStateTypeSpecialty
CH12123FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Chiropractic, PLLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

3000 Gulf To Bay Blvd
Ste 201
Clearwater, FL 33759

2150 Palm Harbor Blvd
Ste B
Palm Harbor, FL 34683
Phone (727) 241-9095

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1306366224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PALM HARBOR BLVD STE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835363",
            "telephone_number": "727-241-9095",
            "fax_number": "727-245-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PALM HARBOR BLVD STE B",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835363",
            "telephone_number": "727-241-9095",
            "fax_number": "727-245-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON",
        "first_name": "CAITLIN",
        "middle_name": "ELISE SULLIVAN",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "SULLIVAN",
            "middle_name": "ELISE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.