Active NPI
Kaylee Marie Groff, D.C.
- Chiropractor
- Tampa, FL
National Provider Identifier
1669989109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12377
- Practice address
- 11669 W Hillsborough Ave
Tampa, FL 33635-9736 - Phone
- (813) 906-5902
- Fax
- (813) 906-5902
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 | CH12377 | FL | Primary |
Addresses
Primary practice location
11669 W Hillsborough Ave
Tampa, FL 33635-9736
Mailing address
11669 W Hillsborough Ave
Tampa, FL 33635-9736
Phone (813) 906-5902
Other names 1
- Dr. Kaylee Marie Canalungo
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 |
|---|---|---|---|
| CH12377 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1669989109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11669 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336359736",
"telephone_number": "813-906-5902",
"fax_number": "813-701-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11669 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336359736",
"telephone_number": "813-906-5902",
"fax_number": "813-906-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROFF",
"first_name": "KAYLEE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLEE",
"last_name": "CANALUNGO",
"middle_name": "MARIE",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.