Individual provider Active NPI

Diana Jessica Crivelli, DC

  • Chiropractor
  • Spring Hill, FL
National Provider Identifier
1346319191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8199 Issued in FL
Practice address
10417 Spring Hill Dr
Spring Hill, FL 34608-5043
Phone
(352) 684-1484
Fax
(352) 684-1420
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8199 FL Primary

Addresses

Primary practice location

10417 Spring Hill Dr
Spring Hill, FL 34608-5043

Mailing address

10417 Spring Hill Dr
Spring Hill, FL 34608-5043
Phone (352) 684-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050114000698 FL Practitioner - Chiropractic 1658320908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14270 Spring Hill Dr
Spring Hill, FL 34609-5259
Phone (352) 684-1484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8199FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Hill Chiropractic, Inc. Chiropractor CurrentSince Aug 2, 2004 Accepting new patients
Chiromed Chiropractic Center, Inc Chiropractor Past Accepting new patients

Locations

10417 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 684-1484

14270 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 684-1484

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346319191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10417 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085043",
            "telephone_number": "352-684-1484",
            "fax_number": "352-684-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10417 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085043",
            "telephone_number": "352-684-1484",
            "fax_number": "352-684-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIVELLI",
        "first_name": "DIANA",
        "middle_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.