Active NPI
Kaitlyn Frening
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1770176315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13366
- Practice address
- 173 450 Sr 13
Jacksonville, FL 32259 - Phone
- (904) 288-8408
- NPI assigned
- Feb 15, 2021
- Last updated
- Feb 15, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 13366 | FL | Primary |
Addresses
Primary practice location
173 450 Sr 13
Jacksonville, FL 32259
Mailing address
1010 N Swallow Tail Dr Apt 1405
Port Orange, FL 32129-4157
Phone (352) 514-5945
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13366 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1770176315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N SWALLOW TAIL DR APT 1405",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294157",
"telephone_number": "352-514-5945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 450 SR 13",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32259",
"telephone_number": "904-288-8408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRENING",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "13366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.