Organization Active NPI

Ewing Family Chiropractic

Doing business as Russell Chiropractic

  • Chiropractor
  • Niceville, FL
National Provider Identifier
1962876623
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7070 Issued in FL
Legal business name
EWING FAMILY CHIROPRACTIC
Doing business as
Russell Chiropractic
Practice address
350 John Sims Pkwy W.
Unit 401
Niceville, FL 32578
Phone
(850) 678-8049
Fax
(850) 678-2629
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Kathryn A Russell, D.C.NPI 1174291975
Title
Owner
Phone
(850) 678-8049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7070 FL Primary

Addresses

Primary practice location

350 John Sims Pkwy W.
Unit 401
Niceville, FL 32578

Mailing address

350 John Sims Pkwy W.
Unit 401
Niceville, FL 32578
Phone (850) 678-8049

Other names 1

  • Russell Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151120000046 FL Part B Supplier - Clinic/Group Practice 9830499086 Receives reassigned benefits from 2 practitioners
Practice locations: Niceville, FL

National Provider Directory

National Provider Directory

Locations

350 John Sims Pkwy W
Unit 401
Niceville, FL 32578
Phone (850) 678-8049

705 John Sims Pkwy W
Niceville, FL 32578
Phone (850) 678-8048

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1962876623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 JOHN SIMS PKWY W.",
            "address_2": "UNIT 401",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "32578",
            "telephone_number": "850-678-8049",
            "fax_number": "850-678-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHN SIMS PKWY W.",
            "address_2": "UNIT 401",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "32578",
            "telephone_number": "850-678-8049",
            "fax_number": "850-678-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWING FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-678-8049",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.