Lisette Miller Kondrad, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12731 Issued in FL

Practice address

3220 Clark Rd
Sarasota, FL 34231-8302

Phone

(302) 562-3314

NPI assigned

Feb 18, 2013

Last updated

Jan 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lisette Michelle Miller Former name

Medicare fee-for-service enrollment

Enrolled in DE, FL2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kondrad Chiropractic LLCGroup PAC ID 7315371879, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kondrad Chiropractic LLC

  • Chiropractor
  • Sarasota, FL
  • NPI 1093358186
  Medicare reassignment Care Compare group NPD
• Newark Chiropractic Health Center PA

  • Chiropractor
  • Newark, DE
  • NPI 1649283995
  Medicare reassignment NPD
• Christopher Lowe Hicklin Dcplc

  • Chiropractor
  • Sarasota, FL
  • NPI 1871745430
  NPD
• First State Nutrition LLC

  • Nutritionist
  • Wilmington, DE
  • NPI 1598268229
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1336489095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318302",
            "telephone_number": "941-923-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318302",
            "telephone_number": "302-562-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2209 Pinewoods Cir",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341052541",
            "country_code": "US",
            "telephone_number": "074-462-1834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDRAD",
        "first_name": "LISETTE",
        "middle_name": "MILLER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000856",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISETTE",
            "last_name": "MILLER",
            "middle_name": "MICHELLE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Louis Bernard Kolupa, RPH
• Gary Kompothecras, DC
• Rachel Kondek, PA-C
• Kondrad Chiropractic LLC
• Kristopher Scott Kondrad, D.C.
• Thomas J Konecny, DDS
• Brandon David Konkel, M.D.
• Courtney Renae Konkel, D.O.
• Denise D Konstenius, LCSW
• Samuel Koolhoven-Moore

• Chiropractor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.

Verify at the official NPI Registry.