Carolyn Driscoll, DC, MS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12951-1 Issued in NY

Practice address

22 Sweetbriar Dr
Gansevoort, NY 12831-2526

Phone

(484) 336-6635

NPI assigned

May 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clifton Park Chiropractic PLLCGroup PAC ID 6103224571, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Clifton Park Chiropractic PLLC

  • Medical Specialty Clinic/Center
  • Halfmoon, NY
  • NPI 1619641727
  Medicare reassignment Care Compare group NPD Authorized official
• Nussbaum Chiropractic PLLC

  • Radiology Chiropractor
  • Albany, NY
  • NPI 1124555024
  Medicare reassignment NPD

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1770010803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SWEETBRIAR DR",
            "city": "WILTON",
            "state": "NY",
            "postal_code": "128312526",
            "telephone_number": "484-336-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SWEETBRIAR DR",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128312526",
            "telephone_number": "484-336-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "NY",
            "license": "12951-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "12951-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Sebastian Colson, COTA/L
• Neilie O. Cordiner, LMHC
• Margarita R De Federicis, MD
• Andrew Christopher Demaree, PSYD
• Linda Donnaruma, MS, OTR
• Karann Durr, RD, CDN
• Andrew Karl Eschner, DVM
• Claudia Farrell, M.D.
• Lindsay M Ferrara, M.S., R.D.
• Kelly A Fountaine, M.S., CCC-SLP

• Chiropractor in Gansevoort, NY
• Providers in Gansevoort, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.