Active NPI
Kristy Ellison, D.C.
- Chiropractor
- Hurricane, WV
National Provider Identifier
1376790220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 854
- Practice address
- 1101 Hospital Dr
Suite 201
Hurricane, WV 25526-8711 - Phone
- (304) 757-4515
- Fax
- (304) 757-4517
- NPI assigned
- Aug 22, 2008
- 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 | 854 | WV | Primary |
Addresses
Primary practice location
1101 Hospital Dr
Suite 201
Hurricane, WV 25526-8711
Mailing address
3683 Garden CT
Grove City, OH 43123-2906
Phone (614) 801-1307
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 854 | WV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Physicians of West Virginia | Chiropractor | Past | Accepting new patients |
| Harry W. Brown, Inc. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Hurricane, WV
- NPI 1104966928
-
- Chiropractor
- Savannah, GA
- NPI 1225058639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1376790220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3683 GARDEN CT",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232906",
"telephone_number": "614-801-1307",
"fax_number": "614-227-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HOSPITAL DR",
"address_2": "SUITE 201",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255268711",
"telephone_number": "304-757-4515",
"fax_number": "304-757-4517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "KRISTY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.