Individual provider Active NPI

Amberly Brooke Parkhurst, D.C.

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1881825875
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9750 Issued in FL
Practice address
2 Office Park Dr
Suite a
Palm Coast, FL 32137-3854
Phone
(386) 447-9930
Fax
(386) 447-9931
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9750 FL Primary

Addresses

Primary practice location

2 Office Park Dr
Suite a
Palm Coast, FL 32137-3854

Mailing address

2 Office Park Dr
Suite a
Palm Coast, FL 32137-3854
Phone (386) 447-9930

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH9750FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness One Chiropractic LLC Chiropractor PastSince Sep 15, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1881825875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OFFICE PARK DR",
            "address_2": "SUITE A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373854",
            "telephone_number": "386-447-9930",
            "fax_number": "386-447-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OFFICE PARK DR",
            "address_2": "SUITE A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373854",
            "telephone_number": "386-447-9930",
            "fax_number": "386-447-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKHURST",
        "first_name": "AMBERLY",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.