Individual provider Active NPI

Adrienne Lucia Fabrizio, D.C.

  • Nutrition Chiropractor
  • Carmel, NY
National Provider Identifier
1942391305
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
XO-3731-9 Issued in NY
Practice address
686 Stoneleigh Ave Ste 1
Carmel, NY 10512-3932
Phone
(845) 278-9300
Fax
(845) 278-8702
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X XO-3731-9 NY Primary

Addresses

Primary practice location

686 Stoneleigh Ave Ste 1
Carmel, NY 10512-3932

Mailing address

686 Stoneleigh Ave Ste 1
Carmel, NY 10512-3932
Phone (845) 278-9300

Other identifiers 3

IdentifierTypeStateIssuer
009453-99OtherNYGHI
13-3374290OtherNYTAX ID
CO3731-9OtherNYWORKERS COMPENSATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202001123 NY Practitioner - Chiropractic 4880587104 Practice locations: Carmel, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

686 Stoneleigh Ave
Carmel, NY 10512-3931
Phone (845) 278-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XO-3731-9NYMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1942391305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 STONELEIGH AVE STE 1",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123932",
            "telephone_number": "845-278-9300",
            "fax_number": "845-278-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 STONELEIGH AVE STE 1",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123932",
            "telephone_number": "845-278-9300",
            "fax_number": "845-278-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIZIO",
        "first_name": "ADRIENNE",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "XO-3731-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "009453-99",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "13-3374290",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "CO3731-9",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.