Kristin Marie Kidgell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7937 Issued in FL

Practice address

5627 Gulfport Blvd S
Gulfport, FL 33707-4828

Phone

(727) 637-2957

Fax

(505) 455-8741

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kme Chiro Inc

  • Chiropractor
  • St Petersburg, FL
  • NPI 1952839805
  Medicare reassignment NPD Authorized official
• Havro Inc

  • Chiropractor
  • Bradenton, FL
  • NPI 1447386677
  NPD (past)
• Miller Chiropractic and Wellness Inc

  • Chiropractor
  • St Petersburg, FL
  • NPI 1982621314
  NPD (past)
• Thomas E Hughes, DC, PA

  • Chiropractor
  • St Petersburg, FL
  • NPI 1154821064
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1720170434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 GULFPORT BLVD S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337074828",
            "telephone_number": "727-637-2957",
            "fax_number": "505-455-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 GULFPORT BLVD S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337074828",
            "telephone_number": "727-637-2957",
            "fax_number": "505-455-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDGELL",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV NUMBER",
            "identifier": "53914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura S Hulsey, LMT
• Cassandra Hunt, COTA/L
• Jennifer Kaminsky, L.C.S.W.
• Julie Kaplan, LIC AP, LMT
• Darla Marie Keyes, LPT
• Elizabeth S Kiebzak, LCSW, CAP
• Jamie Renee Klemzak, LMFT
• Alicia Kopp
• Craig Kunins, M.D.
• Jessica Landon

• Chiropractor in Gulfport, FL
• Providers in Gulfport, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.