Organization Active NPI

J Kristin Shiver DC LLC

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1881849834
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9071 Issued in FL
Legal business name
J KRISTIN SHIVER DC LLC
Practice address
5127 NW 39TH Ave
Gainesville, FL 32606-5943
Phone
(352) 271-1211
Fax
(352) 271-4378
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Jennifer Kristin Shiver, DCNPI 1144490939
Title
Owner
Phone
(352) 271-1211

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 CH9071 FL Primary

Addresses

Primary practice location

5127 NW 39TH Ave
Gainesville, FL 32606-5943

Mailing address

5127 NW 39TH Ave
Gainesville, FL 32606-5943
Phone (352) 271-1211

Other identifiers 1

IdentifierTypeStateIssuer
71974OtherFLBLUE CROSS PIN NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090928000591 FL Part B Supplier - Clinic/Group Practice 9335295658 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

5127 NW 39th Ave
Gainesville, FL 32606
Phone (352) 271-1211

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1881849834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 NW 39TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065943",
            "telephone_number": "352-271-1211",
            "fax_number": "352-271-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 NW 39TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065943",
            "telephone_number": "352-271-1211",
            "fax_number": "352-271-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KRISTIN SHIVER DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "SHIVER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-271-1211",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN NUMBER",
            "identifier": "71974",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.