Individual provider Active NPI

Catherine M. Holtschlag, D.C.

  • Chiropractor
  • Camp Point, IL
National Provider Identifier
1013054873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-0007811 Issued in IL
Practice address
207 W Wood St
Camp Point, IL 62320-1301
Phone
(217) 593-6399
Fax
(217) 593-6399
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-0007811 IL Primary

Addresses

Primary practice location

207 W Wood St
Camp Point, IL 62320-1301

Mailing address

207 W Wood St
Camp Point, IL 62320-1301

Other identifiers 1

IdentifierTypeStateIssuer
0000108493OtherILBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110117000008 IL Practitioner - Chiropractic 7719176171 Practice locations: Camp Point, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

207 W Wood St
Camp Point, IL 62320-1301
Phone (217) 593-6399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-0007811ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013054873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W WOOD ST",
            "city": "CAMP POINT",
            "state": "IL",
            "postal_code": "623201301",
            "fax_number": "217-593-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W WOOD ST",
            "city": "CAMP POINT",
            "state": "IL",
            "postal_code": "623201301",
            "telephone_number": "217-593-6399",
            "fax_number": "217-593-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTSCHLAG",
        "first_name": "CATHERINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-0007811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0000108493",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Point, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.