Organization Active NPI

Dr Kristie Chiropractic, LLC

  • Chiropractor
  • Terrytown, LA
National Provider Identifier
1861884934
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1244 Issued in LA
Legal business name
DR KRISTIE CHIROPRACTIC, LLC
Practice address
1620 Belle Chasse Hwy
Suite 103
Terrytown, LA 70056-7057
Phone
(504) 636-3036
Fax
(504) 613-0332
NPI assigned
Feb 26, 2015
Last updated
May 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Kristie Alicia Giardina, D.C.NPI 1801914924
Title
Clinic Owner
Phone
(504) 636-6036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1244 LA Primary

Addresses

Primary practice location

1620 Belle Chasse Hwy
Suite 103
Terrytown, LA 70056-7057

Mailing address

1620 Belle Chasse Hwy
Suite 103
Terrytown, LA 70056-7057
Phone (504) 636-6036

Other identifiers 1

IdentifierTypeStateIssuer
1244OtherLALOUISIANA LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150508001140 LA Part B Supplier - Clinic/Group Practice 5193044402 Receives reassigned benefits from 1 practitioner
Practice locations: Gretna, LA

National Provider Directory

National Provider Directory

Locations

310 Huey P Long Ave
Ste 100
Gretna, LA 70053
Phone (504) 636-6036

1620 Belle Chasse Hwy
Ste 103
Terrytown, LA 70056
Phone (504) 636-3036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1861884934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BELLE CHASSE HWY",
            "address_2": "SUITE 103",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567057",
            "telephone_number": "504-636-6036",
            "fax_number": "504-613-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BELLE CHASSE HWY",
            "address_2": "SUITE 103",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567057",
            "telephone_number": "504-636-3036",
            "fax_number": "504-613-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KRISTIE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "ALICIA",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "504-636-6036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA LICENSE NUMBER",
            "identifier": "1244",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.