Individual provider Active NPI

Kelsi Kriewald, DC

  • Chiropractor
  • Little Elm, TX
National Provider Identifier
1619331592
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12975 Issued in TX
Practice address
2401 Sun Creek Dr
Little Elm, TX 75068-0160
Phone
(512) 968-7563
NPI assigned
Apr 7, 2016
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12975 TX Primary

Addresses

Primary practice location

2401 Sun Creek Dr
Little Elm, TX 75068-0160

Mailing address

2401 Sun Creek Dr
Little Elm, TX 75068-0160
Phone (512) 968-7563

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

LicenseStateTypeSpecialty
12975TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1619331592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SUN CREEK DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750680160",
            "telephone_number": "512-968-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 SUN CREEK DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750680160",
            "telephone_number": "512-968-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEWALD",
        "first_name": "KELSI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

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

Verify at the official NPI Registry.