Active NPI
Kristina Howell
- Chiropractor
- Forest Park, GA
National Provider Identifier
1619325347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009690
- Practice address
- 541 Forest Pkwy Ste 14
Forest Park, GA 30297 - Phone
- (678) 949-9448
- NPI assigned
- Jun 3, 2016
- 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 | CHIR009690 | GA | Primary |
Addresses
Primary practice location
541 Forest Pkwy Ste 14
Forest Park, GA 30297
Mailing address
541 Forest Pkwy Ste 14
Forest Park, GA 30297-6110
Other practice location 1
2740 Greenbriar Pkwy SW
Suite A3
Atlanta, GA 30331-2627
Phone (404) 629-9440
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 |
|---|---|---|---|
| CHIR009690 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Custom Living Care | Current | Accepting new patients |
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.
-
- Nursing Care Agency
- Atlanta, GA
- NPI 1235724535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1619325347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 FOREST PKWY STE 14",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302976110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 FOREST PKWY STE 14",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "30297",
"telephone_number": "678-949-9448"
}
],
"practiceLocations": [
{
"address_1": "2740 Greenbriar Pkwy SW",
"address_2": "Suite A3",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303312627",
"country_code": "US",
"telephone_number": "404-629-9440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWELL",
"first_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.