Individual provider Active NPI

Caiya T Moncrief, D.C.

  • Chiropractor
  • Collierville, TN
National Provider Identifier
1679130249
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3206 Issued in TN
Practice address
3615 S Houston Levee Rd Ste 110
Collierville, TN 38017-9173
Phone
(901) 221-7173
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3206 TN Primary

Addresses

Primary practice location

3615 S Houston Levee Rd Ste 110
Collierville, TN 38017-9173

Mailing address

3615 S Houston Levee Rd Ste 110
Collierville, TN 38017-9173
Phone (901) 221-7173

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
3206TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Chiro Place of Collierville PLLC Chiropractor CurrentSince Dec 10, 2018 Accepting new patients
The Chiro Place PLLC Chiropractor Past Accepting new patients

Locations

3615 S Houston Levee Rd
Ste 110
Collierville, TN 38017
Phone (901) 217-7173

3179 Poplar Ave
Memphis, TN 38111
Phone (901) 221-7173

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1679130249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S HOUSTON LEVEE RD STE 110",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179173",
            "telephone_number": "901-221-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S HOUSTON LEVEE RD STE 110",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179173",
            "telephone_number": "901-221-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEF",
        "first_name": "CAIYA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.