Active NPI
Amy Lynn Wolf, D.C.
- Chiropractor
- Daytona Beach, FL
National Provider Identifier
1346500501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10963
- Practice address
- 206 S Beach St
Daytona Beach, FL 32114-4404 - Phone
- (386) 202-2272
- NPI assigned
- May 22, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10963 | FL | Primary |
| Chiropractor | 111N00000X | X012321-1 | NY |
Addresses
Primary practice location
206 S Beach St
Daytona Beach, FL 32114-4404
Mailing address
206 S Beach St
Daytona Beach, FL 32114-4404
Phone (386) 202-2272
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 |
|---|---|---|---|
| CH10963 | FL | MD | Chiropractor |
| X012321-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1346500501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S BEACH ST",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144404",
"telephone_number": "386-202-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S BEACH ST",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144404",
"telephone_number": "386-202-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-22",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10963",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012321-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.