Individual provider Active NPI

Brittany Kasprack, DC

  • Chiropractor
  • Collierville, TN
National Provider Identifier
1528448685
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2859 Issued in TN
Practice address
3615 S Houston Levee Rd
Ste 110
Collierville, TN 38017-9192
Phone
(901) 221-7173
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1245 MS
Chiropractor 111N00000X 2859 TN Primary

Addresses

Primary practice location

3615 S Houston Levee Rd
Ste 110
Collierville, TN 38017-9192

Mailing address

6942 Autumn Oaks Drive
Suite a
Olive Branch, MS 38654-9379
Phone (662) 890-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323002287 MS Practitioner - Chiropractic 4486966132 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid South Chiropractic of Clarksdale PLLCGroup PAC ID 7517398167, 2 clinicians
Mid South Chiropractic of Hernando PLLCGroup PAC ID 8022383025, 2 clinicians
Mid South Chiropractic PLLCGroup PAC ID 0143527846, 2 clinicians

Practice addresses (Care Compare)

208 Sunflower Ave
Clarksdale, MS 38614-4221
Phone (662) 890-0012

210 E Commerce St
Suite 1
Hernando, MS 38632-2308
Phone (662) 890-0012

6942 Autumn Oaks Dr
Suite a
Olive Branch, MS 38654-9379
Phone (662) 890-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1245MSMDMental Health Counselor
2859TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big River Chiropractic Horn Lake PLLC Chiropractor CurrentSince Jan 2, 2025 Accepting new patients
The Chiro Place of Collierville PLLC Chiropractor PastSince Dec 10, 2018 Accepting new patients
Desoto Primary Care Clinic, PLLC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1528448685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6942 AUTUMN OAKS DRIVE",
            "address_2": "SUITE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549379",
            "telephone_number": "662-890-0012",
            "fax_number": "662-890-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S HOUSTON LEVEE RD",
            "address_2": "STE 110",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179192",
            "telephone_number": "901-221-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPRACK",
        "first_name": "BRITTANY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1245",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.