Active NPI
Christina Ann Willis, DC
- Chiropractor
- Bethel, CT
National Provider Identifier
1710449848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2142
- Practice address
- 16 Apple Tree Rd
Bethel, CT 06801-1333 - Phone
- (203) 470-5332
- NPI assigned
- Apr 6, 2019
- 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 | 2142 | CT | Primary |
Addresses
Primary practice location
16 Apple Tree Rd
Bethel, CT 06801-1333
Mailing address
16 Apple Tree Rd
Bethel, CT 06801-1333
Phone (203) 470-5332
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554508800000",
"number": "1710449848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 APPLE TREE RD",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011333",
"telephone_number": "203-470-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 APPLE TREE RD",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011333",
"telephone_number": "203-470-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "CHRISTINA",
"middle_name": "ANN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-06",
"last_updated": "2019-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CT",
"license": "2142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.