Amber Kollen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13017 Issued in FL

Practice address

2445 Country Place Blvd Ste 103
New Port Richey, FL 34655-1102

Phone

(727) 264-6091

Fax

(727) 264-6099

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Patteson Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrity Sport and Spine LLC

  • Chiropractor
  • New Port Richey, FL
  • NPI 1386424059
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1962042093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 COUNTRY PLACE BLVD STE 103",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551102",
            "telephone_number": "727-264-6091",
            "fax_number": "727-264-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 COUNTRY PLACE BLVD STE 103",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551102",
            "telephone_number": "727-264-6091",
            "fax_number": "727-264-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLEN",
        "first_name": "AMBER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "PATTESON",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Serena Lynn Knopp, B.S.
• Junell Carol Koberlein, MD
• Hashim Haytham Kochak
• Ryan Koehn, PA-C
• Rebekah Lin Kolka
• Michael James Kollen Jr.
• Nicholas A Kolos, LMHC, LMFT
• Patricia Ann Koltusz, O.T.R.
• Casey L Komm, D.O
• Jennifer Konger, PTA

• Chiropractor in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.