Individual provider Active NPI

Callerina Key, D.C.

  • Chiropractor
  • Rockledge, FL
National Provider Identifier
1558710046
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13957 Issued in FL
Practice address
760 Barnes Blvd Ste 102
Rockledge, FL 32955-5314
Phone
(321) 735-8102
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009644 GA
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH13957 FL Primary

Addresses

Primary practice location

760 Barnes Blvd Ste 102
Rockledge, FL 32955-5314

Mailing address

3875 Sage Brush Cir
Melbourne, FL 32901-8203
Phone (205) 544-6732

Other names 1

  • Dr. Callerina Natori Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629001274 FL Practitioner - Chiropractic 0244699825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastline Family Chiropractic Melbourne LLCGroup PAC ID 9335593474, 2 clinicians

Practice addresses (Care Compare)

3980 Sarno Rd
Suite 102
Melbourne, FL 32934-7238
Phone (321) 610-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13957FLMDChiropractor
CHIR009644GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Family Chiropractic Melbourne LLC Chiropractor CurrentSince Jul 15, 2024 Accepting new patients

Locations

3980 Sarno Rd
Unit 102
Melbourne, FL 32934
Phone (321) 610-3000

Organizations & group practices 1

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1558710046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 SAGE BRUSH CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018203",
            "telephone_number": "205-544-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BARNES BLVD STE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555314",
            "telephone_number": "321-735-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY",
        "first_name": "CALLERINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009644",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLERINA",
            "last_name": "NATORI",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.