Integrity Sport and Spine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INTEGRITY SPORT AND SPINE LLC

Practice address

2445 Country Place Blvd Ste 103
New Port Richey, FL 34655-1102

Phone

(727) 372-9500

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Amber Lynn Kollen, DCNPI 1962042093

Title

Owner/Chiropractor

Phone

(727) 264-6091

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Kollen, DC

  • Chiropractor
  • New Port Richey, FL
  • NPI 1962042093
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1386424059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 COUNTRY PLACE BLVD STE 103",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551102",
            "telephone_number": "727-264-6091",
            "fax_number": "727-264-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 COUNTRY PLACE BLVD STE 103",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551102",
            "telephone_number": "727-372-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY SPORT AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "KOLLEN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "727-264-6091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1962042093",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.