Kelsey Lauren Pilati-Willis, DC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

13103 Issued in FL

Practice address

400 S Atlantic Ave Ste 114
Ormond Beach, FL 32176-7142

Phone

(386) 301-4393

NPI assigned

Aug 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20431/brand/1/csg/1/fhir/r4

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.

• Sage Chiropractic and Vitality Center, LLC

  • Chiropractor
  • Ormond Beach, FL
  • NPI 1568145035
  Medicare reassignment NPD

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1962717413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S ATLANTIC AVE STE 114",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321767142",
            "telephone_number": "330-205-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S ATLANTIC AVE STE 114",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321767142",
            "telephone_number": "386-301-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILATI-WILLIS",
        "first_name": "KELSEY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13103",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13103",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "13103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Lawrence Piazza Jr., DPT, ATC, MTC
• Jill Anne Piazza, PT
• Emmalynn I Pier, LMT
• Meg Pierce, PA
• Jesse McCoy Pietroburgo, DPT
• G. Michael Pilcher, PHD, LMHC
• Stacia L. Pilcher, LMT
• Sergio N/a Pineiro Jr., D.O.
• Pinnacle Dentistry
• Eduardo Pitre, HAS

• Neurology Chiropractor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Neurology Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.