CARISSA TAYLOR DC
NPI 1982102547
Chiropractor - Pediatric Chiropractor in Lithia, FL

Active since January 30, 2018
5611 SKYTOP DR, LITHIA, FL 33547(813) 461-6500 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2023, May 24, 2022, Oct 3, 2019 and 1 more (4 updates tracked since 2019).

About Carissa Taylor Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA TAYLOR DC (NPI 1982102547) is an individual pediatric chiropractor in Lithia, Florida, licensed in Florida (CH12397) and active in the NPI registry since January 2018. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1982102547
Entity TypeIndividualFemale
Primary Taxonomy111NP0017X
Provider Legal NameCARISSA TAYLORCredential: DC
Location Address5611 SKYTOP DRLithia, FL 33547-4165
Mailing Address5611 Skytop DrLithia, FL 33547-4165 · (813) 461-6500 · Fax (813) 461-6501
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 30, 2018
Last NPPES UpdateOctober 10, 20234 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1982102547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Pediatric ChiropractorChiropractic Providers
Taxonomy Code111NP0017X
License✔ Licensed in FL · CH12397
Definition
The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.
5611 SKYTOP DR, Lithia, FL 33547

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carissa Taylor Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800229287
PECOS Enrollment IDI20191126002528

Medicare Billing Reassignment

Medicare enrollment records show Carissa Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
5611 SKYTOP DR
Lithia, FL 33547
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
5611 SKYTOP DR
LITHIA, FL 33547
Chiropractor
5611 SKYTOP DR
LITHIA, FL 33547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Taylor's NPI number?

The NPI number for Carissa Taylor is 1982102547. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Carissa Taylor located?

Carissa Taylor practices at 5611 Skytop Dr, Lithia, FL 33547. The listed phone number is (813) 461-6500.

What is Carissa Taylor's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Pediatric Chiropractor, with taxonomy code 111NP0017X.

Is Carissa Taylor enrolled in Medicare?

Yes. Carissa Taylor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carissa Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Taylor reassigns Medicare benefits to At Last Chiropractic, LLC (Lithia, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carissa Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carissa Taylor was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.