Individual provider Active NPI

Kandi L Gillespie, DC

  • Chiropractor
  • Carbon Hill, AL
National Provider Identifier
1316038474
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2144 Issued in AL
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

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
529900540MedicaidAL
51532604OtherALBC/BS

Other names 1

  • Kandi L Nix 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2144ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.