Carissa Taylor, DC

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

CH12397 Issued in FL

Practice address

5611 Skytop Dr
Lithia, FL 33547-4165

Phone

(813) 461-6500

NPI assigned

Jan 30, 2018

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

At Last Chiropractic, LLCGroup PAC ID 6002249489, 4 clinicians

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.

• At Last Chiropractic, LLC

  • Chiropractor
  • Lithia, FL
  • NPI 1932740644
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1982102547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 SKYTOP DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474165",
            "telephone_number": "813-461-6500",
            "fax_number": "813-461-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 SKYTOP DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335474165",
            "telephone_number": "813-461-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CARISSA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "FL",
            "license": "CH12397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tampa General Medical Group Inc
• Christopher L Tappan, MD
• Ada C Tapper, ARNP
• Daniel Tarazona, MD
• Anthony Roman Taylor, DC
• Patience Alacya Taylor
• Bibiche Gaelle Tchawou Dzati
• Therxservices Inc
• Merlyn S Thomas
• Stephanie Thornburgh

• Pediatric Chiropractor in Lithia, FL
• Providers in Lithia, FL by specialty
• Pediatric Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.