Active NPI
Krista Brackett Griffin, D.C.
- Chiropractor
- Lewes, DE
National Provider Identifier
1629097969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F1-0000673
- Practice address
- 110 Anglers Rd
Unit #101
Lewes, DE 19958-1105 - Phone
- (302) 644-8494
- Fax
- (302) 644-8495
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F1-0000673 | DE | Primary |
| Chiropractor | 111N00000X | DC 007804 | PA |
Addresses
Primary practice location
110 Anglers Rd
Unit #101
Lewes, DE 19958-1105
Mailing address
110 Anglers Rd
Unit #101
Lewes, DE 19958-1105
Phone (302) 644-8494
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913066 | Other | PA | HIGHMARK ID NUMBER |
| DC007804 | Other | PA | LICENSE NUMBER |
| F1 0000673 | Other | DE | STATE LICENCE |
Other names 1
- Dr. Krista Lynn Brackett
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 |
|---|---|---|---|
| F1-0000673 | DE | MD | Chiropractor |
| DC 007804 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Deodato LLC | Chiropractor | Past | Accepting new patients |
| Sabers Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Bryn Mawr, PA
- NPI 1790963569
-
- Chiropractor
- Bryn Mawr, PA
- NPI 1750923868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1629097969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ANGLERS RD",
"address_2": "UNIT #101",
"city": "LEWES",
"state": "DE",
"postal_code": "199581105",
"telephone_number": "302-644-8494",
"fax_number": "302-644-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 ANGLERS RD",
"address_2": "UNIT #101",
"city": "LEWES",
"state": "DE",
"postal_code": "199581105",
"telephone_number": "302-644-8494",
"fax_number": "302-644-8495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "KRISTA",
"middle_name": "BRACKETT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F1-0000673",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC 007804",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK ID NUMBER",
"identifier": "913066",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "DC007804",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "F1 0000673",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTA",
"last_name": "BRACKETT",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.