NPIMap

Organization Active NPI

Vita Nova Limited Inc

Doing business as Grace Medical and Chiropractic

  • Chiropractor
  • North Fort Myers, FL
National Provider Identifier
1659919090
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VITA NOVA LIMITED INC
Doing business as
Grace Medical and Chiropractic
Practice address
13720 N Cleveland Ave Ste B
North Fort Myers, FL 33903-4300
Phone
(239) 997-8100
NPI assigned
Dec 17, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Dr. Amy L Kerr, DCNPI 1730697368
Title
Doctor of Chiropractic
Phone
(478) 508-4168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

13720 N Cleveland Ave Ste B
North Fort Myers, FL 33903-4300

Mailing address

13720 N Cleveland Ave Ste B
North Fort Myers, FL 33903-4300

Other names 1

  • GRACE MEDICAL AND CHIROPRACTIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200313000709 FL Part B Supplier - Clinic/Group Practice 3870921463 Receives reassigned benefits from 8 practitioners
Practice locations: North Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

13720 N Cleveland Ave
North Ft Myers, FL 33903
Phone (239) 997-8100

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1659919090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 N CLEVELAND AVE STE B",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 N CLEVELAND AVE STE B",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034300",
            "telephone_number": "239-997-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITA NOVA LIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "478-508-4168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE MEDICAL AND CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.

Verify at the official NPI Registry.