Individual provider Active NPI

Kristy Ann Lenwell, D.C.

  • Chiropractor
  • New Albany, IN
National Provider Identifier
1013104611
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002348A Issued in IN
Practice address
222 Pearl St.
Suite 104
New Albany, IN 47150
Phone
(812) 725-9808
NPI assigned
Sep 27, 2007
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002348A IN Primary

Addresses

Primary practice location

222 Pearl St.
Suite 104
New Albany, IN 47150

Mailing address

222 Pearl St
Suite 104
New Albany, IN 47150-3468
Phone (812) 725-9808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000046 IN Practitioner - Chiropractic 5294808598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bultemeyer Chiropractic LLCGroup PAC ID 1254590961, 2 clinicians

Practice addresses (Care Compare)

1015 S 11TH St
Back to Health Chiropractic
Decatur, IN 46733-2164
Phone (260) 728-4194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002348AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bultemeyer Chiropractic, LLC Chiropractor CurrentSince Jan 9, 2015 Accepting new patients
Back to Health, LLC Chiropractor PastSince Jan 9, 2015 Accepting new patients
Gail Enterprises LLC Chiropractor Past Accepting new patients

Locations

1015 S 11th St
Decatur, IN 46733
Phone (260) 728-4191

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1013104611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PEARL ST",
            "address_2": "SUITE 104",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471503468",
            "telephone_number": "812-725-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PEARL ST.",
            "address_2": "SUITE 104",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "47150",
            "telephone_number": "812-725-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENWELL",
        "first_name": "KRISTY",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002348A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.