Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1194156919 Deactivated / Inactive NPI Female Practitioner

Dr. Tiffany L Kidd , DC

Chiropractor • Fort Myers, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Tiffany Kidd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2013
NPI Deactivation Date July 31, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Tiffany Kidd, DC was a registered Chiropractor practicing in Fort Myers, FL. Throughout an active medical career spanning 7 years, Dr. Kidd provided care at the practice location at 9371 CYPRESS LAKE DR until profile deactivation on 2020-07-31.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

9371 Cypress Lake Dr
Unit 2

Fort Myers, FL 339194939

Telephone 2394339189
Fax 2394334672
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fort Myers, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Fort Myers, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
463 38 $40.60 $39.89

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH11024

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1043245558

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated July 31, 2020

Record deactivated on July 31, 2020

NPI Profile Active May 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location May 24, 2017

Registered at 9371 CYPRESS LAKE DR, UNIT 2, FORT MYERS, FL 339194939 (Tel: (239) 433-0048)

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Updated Business Mailing Address May 24, 2017

Registered at 9371 CYPRESS LAKE DR, UNIT 2, FORT MYERS, FL 339194939 (Tel: (239) 433-0048)

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Provider Name / Credentials Updated May 24, 2017

Recorded as TIFFANY KIDD, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2017

Chiropractor (License #CH11024 in FL)

NPI Profile Active November 05, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 05, 2016

Registered at 9371 CYPRESS LAKE DR, UNIT 2, FORT MYERS, FL 339194939 (Tel: 2394339189)

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Updated Business Mailing Address November 05, 2016

Registered at 9371 CYPRESS LAKE DR, UNIT 2, FORT MYERS, FL 339194939 (Tel: 2394339189)

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Provider Name / Credentials Updated November 05, 2016

Recorded as TIFFANY KIDD, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2016

Chiropractor (License #CH11024 in FL)

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Initial NPI Registration & Enumeration December 04, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194156919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2013
Last Update: November 05, 2016
Deactivation Date: July 31, 2020

Mailing Address

9371 Cypress Lake Dr, Unit 2

Fort Myers, FL 339194939

Phone: 2394339189

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.