Individual provider Active NPI

Kristin Dearmond, DC

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1881105252
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12279 Issued in FL
Practice address
7051 Cypress Ter
Ste 106
Fort Myers, FL 33907-8801
Phone
(239) 886-3066
Fax
(239) 887-3074
NPI assigned
Oct 12, 2017
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12279 FL Primary

Addresses

Primary practice location

7051 Cypress Ter
Ste 106
Fort Myers, FL 33907-8801

Mailing address

7051 Cypress Ter
Fort Myers, FL 33907-8822
Phone (239) 886-3066

Other identifiers 1

IdentifierTypeStateIssuer
1114143708OtherFLMEDICARE

Other names 1

  • Kristin Dehaan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207000874 FL Practitioner - Chiropractic 0547527137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26731 Dublin Woods Cir
Suite 2
Bonita Springs, FL 34135-7271
Phone (239) 200-7248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12279FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Medicine & Rehab LLC CurrentSince Aug 29, 2025 Accepting new patients
Wild Blue Chiropractic LLC Chiropractor Current Accepting new patients
Walker Chiropractic Chiropractor PastSince Nov 1, 2017 Accepting new patients

Locations

9101 W College Pointe Dr
Ste 1B
Fort Myers, FL 33919
Phone (239) 200-7248

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12285/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1881105252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 CYPRESS TER",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078822",
            "telephone_number": "239-886-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 CYPRESS TER",
            "address_2": "STE 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078801",
            "telephone_number": "239-886-3066",
            "fax_number": "239-887-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARMOND",
        "first_name": "KRISTIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1114143708",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "DEHAAN",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.