Individual provider Active NPI

Kylee Jean Quamen, DC

  • Chiropractor
  • Lakewood Ranch, FL
National Provider Identifier
1003788191
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15642 Issued in FL
Practice address
6771 Professional Pkwy Ste 102
Lakewood Ranch, FL 34240-8460
Phone
(941) 702-0553
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15642 FL Primary

Addresses

Primary practice location

6771 Professional Pkwy Ste 102
Lakewood Ranch, FL 34240-8460

Mailing address

11140 Vida Cir Unit 208
Bradenton, FL 34211-2489
Phone (605) 207-0211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251101000045 FL Practitioner - Chiropractic 7719476332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain and Body Chiropractic ClinicGroup PAC ID 9335580810, 3 clinicians

Practice addresses (Care Compare)

6771 Professional Pkwy
Suite 102
Lakewood Ranch, FL 34240-8460
Phone (941) 702-0553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15642FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Body Chiropractic Clinic Chiropractor CurrentSince Sep 26, 2025 Accepting new patients

Locations

6771 Professional Pkwy
Ste 102
Lakewood Ranch, FL 34240
Phone (941) 702-0553

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": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1003788191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 VIDA CIR UNIT 208",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112489",
            "telephone_number": "605-207-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 PROFESSIONAL PKWY STE 102",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408460",
            "telephone_number": "941-702-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAMEN",
        "first_name": "KYLEE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.