Individual provider Active NPI

Kellee Conant, D.C.

  • Chiropractor
  • Monroe, MI
National Provider Identifier
1003167032
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009325 Issued in MI
Practice address
15364 S Telegraph Rd
Monroe, MI 48161-4070
Phone
(734) 241-1191
Fax
(734) 241-0800
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009325 MI Primary

Addresses

Primary practice location

15364 S Telegraph Rd
Monroe, MI 48161-4070

Mailing address

15364 S. Telegraph Rd.
Monroe, MI 48161-4070
Phone (734) 241-1191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000253 MI Practitioner - Chiropractic 7618129099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15364 S Telegraph Rd
Monroe, MI 48161-4070
Phone (734) 241-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009325MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Chiropractic Clinic PC Chiropractor CurrentSince Oct 24, 2012 Accepting new patients

Locations

15364 S Telegraph Rd
Monroe, MI 48161
Phone (734) 241-1191

14989 S Dixie Hwy
Monroe, MI 48161
Phone (734) 244-4285

Networks

  • IL HMO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1003167032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15364 S. TELEGRAPH RD.",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481614070",
            "telephone_number": "734-241-1191",
            "fax_number": "734-241-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15364 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481614070",
            "telephone_number": "734-241-1191",
            "fax_number": "734-241-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONANT",
        "first_name": "KELLEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.