Active NPI
Alyssa Smith Keimig, D.C.
- Chiropractor
- Atlantic Beach, FL
National Provider Identifier
1881855799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11590
- Practice address
- 983 Atlantic Blvd Ste 119
Atlantic Beach, FL 32233-3311 - Phone
- (904) 203-4983
- Fax
- (904) 212-1072
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11590 | FL | Primary |
| Chiropractor | 111N00000X | S03575 | MD |
Addresses
Primary practice location
983 Atlantic Blvd Ste 119
Atlantic Beach, FL 32233-3311
Mailing address
14038 Hazelwood CT
Jacksonville, FL 32224-0869
Phone (443) 235-6039
Other names 1
- Alyssa Kristine Smith
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11590 | FL | MD | Chiropractor |
| S03575 | MD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1881855799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14038 HAZELWOOD CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240869",
"telephone_number": "443-235-6039",
"fax_number": "904-212-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 ATLANTIC BLVD STE 119",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322333311",
"telephone_number": "904-203-4983",
"fax_number": "904-212-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIMIG",
"first_name": "ALYSSA",
"middle_name": "SMITH",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11590",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03575",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "SMITH",
"middle_name": "KRISTINE",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlantic Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.