Active NPI
Christina Kelly, DC, CPM, LM
- Chiropractor
- Hopkins, MN
National Provider Identifier
1891154233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7203
- Practice address
- 11 10TH Ave S Ste D
Hopkins, MN 55343-7505 - Phone
- (952) 452-9712
- NPI assigned
- Feb 13, 2016
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 1101 | MN | |
| Chiropractor | 111N00000X | 7203 | MN | Primary |
Addresses
Primary practice location
11 10TH Ave S Ste D
Hopkins, MN 55343-7505
Mailing address
1207 Carlsbad Village Dr Ste U
Carlsbad, CA 92008-1958
Phone (760) 730-7315
Other practice location 1
451 La Veta Ave
Encinitas, CA 92024-2014
Phone (760) 936-4165
Other practice location 2
1207 Carlsbad Village Dr Ste U
Carlsbad, CA 92008-1958
Phone (760) 730-7315
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7203 | MN | MD | Chiropractor |
| 1101 | MN | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1891154233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 CARLSBAD VILLAGE DR STE U",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081958",
"telephone_number": "760-730-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 10TH AVE S STE D",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553437505",
"telephone_number": "952-452-9712"
}
],
"practiceLocations": [
{
"address_1": "451 La Veta Ave",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920242014",
"country_code": "US",
"telephone_number": "760-936-4165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1207 Carlsbad Village Dr Ste U",
"address_purpose": "LOCATION",
"city": "Carlsbad",
"state": "CA",
"postal_code": "920081958",
"country_code": "US",
"telephone_number": "760-730-7315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "CHRISTINA",
"credential": "DC, CPM, LM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-13",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MN",
"license": "1101",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "7203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkins, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.