Individual provider Active NPI

Krista Brackett Griffin, D.C.

  • Chiropractor
  • Lewes, DE
National Provider Identifier
1629097969
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000673 Issued in DE
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

Updated by the provider on Nov 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
913066OtherPAHIGHMARK ID NUMBER
DC007804OtherPALICENSE NUMBER
F1 0000673OtherDESTATE LICENCE

Other names 1

  • Dr. Krista Lynn Brackett Former name

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

LicenseStateTypeSpecialty
F1-0000673DEMDChiropractor
DC 007804PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Deodato LLC Chiropractor PastSince Jan 24, 2008 Accepting new patients
Sabers Chiropractic PLLC Chiropractor PastSince Oct 13, 2019 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.

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.

Verify at the official NPI Registry.