For Your Wellness Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1536 Issued in TN

Legal business name

FOR YOUR WELLNESS CHIROPRACTIC, LLC

Practice address

317 Seven Springs Way Ste 203
Brentwood, TN 37027-4518

Phone

(615) 668-6785

NPI assigned

Jun 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Walkerwicz, D.C.NPI 1417968603

Title

Owner

Phone

(615) 668-6785

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Leigh Walkerwicz, D.C.

  • Chiropractor
  • Brentwood, TN
  • NPI 1417968603
  Medicare reassignment NPD Authorized official
• Scott A Foote, DC

  • Chiropractor
  • Nashville, TN
  • NPI 1366725707
  NPD (past)

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402704000000",
    "number": "1871907196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 203",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 203",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274518",
            "telephone_number": "615-668-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR YOUR WELLNESS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-14",
        "last_updated": "2014-06-14",
        "status": "A",
        "authorized_official_last_name": "WALKERWICZ",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-668-6785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3145686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7145077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; 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.