Individual provider Active NPI

Kristy Wood, DC

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1376781237
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9566 Issued in FL
Practice address
851 S State Road 434
Suite 1200
Altamonte Springs, FL 32714-4811
Phone
(407) 413-5731
Fax
(407) 413-5732
NPI assigned
Jan 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9566 FL Primary

Addresses

Primary practice location

851 S State Road 434
Suite 1200
Altamonte Springs, FL 32714-4811

Mailing address

851 S State Road 434
Suite 1200
Altamonte Springs, FL 32714-4811
Phone (407) 413-5731

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

Practice roles

OrganizationSpecialtyStatusNew patients
College Park Chiropractic Chiropractor CurrentSince Jul 1, 2024 Accepting new patients
District Chiropractic & Wellness Center, Inc. Chiropractor Past Accepting new patients
Procare Chiropractic and Rehab LLC Chiropractor PastSince Sep 20, 2020 Accepting new patients
Lake Mary Chiropractic Center PA Chiropractor PastSince Jul 28, 2004 Accepting new patients

Locations

3536 Edgewater Dr
Orlando, FL 32804
Phone (407) 413-5731

Organizations & group practices 4

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": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1376781237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S STATE ROAD 434",
            "address_2": "SUITE 1200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144811",
            "telephone_number": "407-413-5731",
            "fax_number": "407-413-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S STATE ROAD 434",
            "address_2": "SUITE 1200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144811",
            "telephone_number": "407-413-5731",
            "fax_number": "407-413-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KRISTY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.