Active NPI
Elizabeth A Kinneavy, D.C.
- Chiropractor
- Lafayette, CO
National Provider Identifier
1417970914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4528
- Practice address
- 2770 Dagny Way
Suite 210
Lafayette, CO 80026-8017 - Phone
- (303) 604-2987
- Fax
- (303) 604-2997
- NPI assigned
- Jul 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4528 | CO | Primary |
Addresses
Primary practice location
2770 Dagny Way
Suite 210
Lafayette, CO 80026-8017
Mailing address
2770 Dagny Way
Suite 210
Lafayette, CO 80026-8017
Phone (303) 604-2987
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 |
|---|---|---|---|
| 4528 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1417970914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 DAGNY WAY",
"address_2": "SUITE 210",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800268017",
"telephone_number": "303-604-2987",
"fax_number": "303-604-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 DAGNY WAY",
"address_2": "SUITE 210",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800268017",
"telephone_number": "303-604-2987",
"fax_number": "303-604-2997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEAVY",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.