Active NPI
Bernadette Hristakopoulos, DC
- Chiropractor
- Palm Coast, FL
National Provider Identifier
1497987135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9757
- Practice address
- 50 Leanni Way
Suite D1
Palm Coast, FL 32137-4751 - Phone
- (386) 283-5997
- NPI assigned
- Aug 13, 2009
- 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 | CH9757 | FL | Primary |
Addresses
Primary practice location
50 Leanni Way
Suite D1
Palm Coast, FL 32137-4751
Mailing address
50 Leanni Way Unit D1
Palm Coast, FL 32137-4756
Other names 1
- Bernadette Diliberto
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 |
|---|---|---|---|
| CH9757 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1497987135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LEANNI WAY UNIT D1",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LEANNI WAY",
"address_2": "SUITE D1",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374751",
"telephone_number": "386-283-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRISTAKOPOULOS",
"first_name": "BERNADETTE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-13",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERNADETTE",
"last_name": "DILIBERTO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.