Active NPI
Kandi L Gillespie, DC
- Chiropractor
- Carbon Hill, AL
National Provider Identifier
1316038474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2144
- Practice address
- 32020 NW 1St Ave
Carbon Hill, AL 35549 - Phone
- (205) 924-0050
- Fax
- (205) 924-0065
- NPI assigned
- Sep 27, 2006
- 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 | 2144 | AL | Primary |
Addresses
Primary practice location
32020 NW 1St Ave
Carbon Hill, AL 35549
Mailing address
PO Box 187
Carbon Hill, AL 35549-0187
Phone (205) 924-0050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529900540 | Medicaid | AL | |
| 51532604 | Other | AL | BC/BS |
Other names 1
- Kandi L Nix
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2144 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manasco Chiropractic Clinic, P.C. | Chiropractor | Past | 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
- Carbon Hill, AL
- NPI 1275735482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1316038474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "CARBON HILL",
"state": "AL",
"postal_code": "355490187",
"telephone_number": "205-924-0050",
"fax_number": "205-924-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32020 NW 1ST AVE",
"city": "CARBON HILL",
"state": "AL",
"postal_code": "35549",
"telephone_number": "205-924-0050",
"fax_number": "205-924-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "KANDI",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529900540",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "51532604",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KANDI",
"last_name": "NIX",
"middle_name": "L",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carbon Hill, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.