Active NPI
Kimberly Michelle Crisp
- Chiropractor
- Frisco, TX
National Provider Identifier
1316686793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15067
- Practice address
- 6155 Sports Village Rd Ste 500
Frisco, TX 75033-3593 - Phone
- (214) 618-0324
- NPI assigned
- Jun 2, 2022
- Last updated
- Jun 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15067 | TX | Primary |
Addresses
Primary practice location
6155 Sports Village Rd Ste 500
Frisco, TX 75033-3593
Mailing address
3023 Modella Ave
Dallas, TX 75229-2430
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15067 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1316686793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 MODELLA AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752292430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6155 SPORTS VILLAGE RD STE 500",
"city": "FRISCO",
"state": "TX",
"postal_code": "750333593",
"telephone_number": "214-618-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISP",
"first_name": "KIMBERLY",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.