Active NPI
Keyshalee Valdivieso-Hernandez, DC
- Chiropractor
- Orlando, FL
National Provider Identifier
1649032061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH14924
- Practice address
- 9726 Lake District LN
Orlando, FL 32832-5830 - Phone
- (787) 941-0665
- NPI assigned
- Jan 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH14924 | FL | Primary |
Addresses
Primary practice location
9726 Lake District LN
Orlando, FL 32832-5830
Mailing address
RR 1 Box 6261
Guayama, PR 00784-3517
Phone (787) 941-0665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240815003495 | FL | Practitioner - Chiropractic | 1557809910 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH14924 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1649032061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 6261",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007843517",
"telephone_number": "787-941-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9726 LAKE DISTRICT LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328325830",
"telephone_number": "787-941-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDIVIESO-HERNANDEZ",
"first_name": "KEYSHALEE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH14924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.