Individual provider Active NPI

Amy L Kerr, DC

  • Chiropractor
  • North Fort Myers, FL
National Provider Identifier
1730697368
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12991 Issued in FL
Practice address
13720 N Cleveland Ave Ste B
North Fort Myers, FL 33903-4300
Phone
(239) 997-8100
Fax
(239) 997-4817
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 090251 IA
Chiropractor 111N00000X CHIR010150 GA
Chiropractor 111N00000X CH12991 FL 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
Phone (239) 997-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190221003077 GA Practitioner - Chiropractic 3375805146 Reassigns benefits to 1 organization
I20200313000930 FL Practitioner - Chiropractic 3375805146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vita Nova Limited IncGroup PAC ID 3870921463, 5 clinicians

Practice addresses (Care Compare)

13720 N Cleveland Ave
Suite B
North Fort Myers, FL 33903-4300
Phone (239) 997-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12991FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Nova Limited Inc Chiropractor CurrentSince Jan 6, 2020 Accepting new patients
Dr. Brian Gillis P C Chiropractor CurrentSince Nov 29, 2018 Accepting new patients
Perry Chiropractic of Warner Robins, LLC Chiropractor PastSince Aug 11, 2019 Accepting new patients

Locations

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

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

1207 Main St
Ste C
Perry, GA 31069
Phone (478) 987-9666

Organizations & group practices 3

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1730697368",
    "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",
            "telephone_number": "239-997-8100",
            "fax_number": "239-997-4817"
        },
        {
            "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",
            "fax_number": "239-997-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "090251",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010150",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 15, 2020; 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.