Active NPI
Kelsey Lynee Birt, DOCTOR CHIROPRACTIC
- Chiropractor
- Safety Harbor, FL
National Provider Identifier
1417440686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12503
- Practice address
- 311 N Bayshore Dr
Safety Harbor, FL 34695-3128 - Phone
- (727) 789-4020
- NPI assigned
- Jun 12, 2018
- 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 | CH12503 | FL | Primary |
Addresses
Primary practice location
311 N Bayshore Dr
Safety Harbor, FL 34695-3128
Mailing address
908 26TH St N
Saint Petersburg, FL 33713-6818
Phone (937) 216-0100
Other practice location 1
1904 1/2 W Bristol Ave
Tampa, FL 33606-2812
Phone (937) 216-0100
Other practice location 2
521 S Greenlee Rd
Troy, OH 45373-8306
Phone (937) 216-0100
Other practice location 3
219 17th St N
St Petersburg, FL 33713-8920
Phone (937) 216-0100
Other names 1
- Dr. Kelsey Lynee Jackson
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 |
|---|---|---|---|
| CH12503 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1417440686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 26TH ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337136818",
"telephone_number": "937-216-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N BAYSHORE DR",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346953128",
"telephone_number": "727-789-4020"
}
],
"practiceLocations": [
{
"address_1": "1904 1/2 W Bristol Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336062812",
"country_code": "US",
"telephone_number": "937-216-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "521 S Greenlee Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453738306",
"country_code": "US",
"telephone_number": "937-216-0100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "219 17th St N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337138920",
"country_code": "US",
"telephone_number": "937-216-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIRT",
"first_name": "KELSEY",
"middle_name": "LYNEE",
"name_prefix": "Dr.",
"credential": "DOCTOR CHIROPRACTIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "JACKSON",
"middle_name": "LYNEE",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.