Active NPI
Kathleen McAuliffe, DC
- Chiropractor
- Columbia, IL
National Provider Identifier
1043319015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038004362
- Practice address
- 109 Wedgewood Drive
Columbia, IL 62236 - Phone
- (618) 281-7171
- Fax
- (618) 281-7666
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038004362 | IL | Primary |
Addresses
Primary practice location
109 Wedgewood Drive
Columbia, IL 62236
Mailing address
109 Wedgewood Drive
Columbia, IL 62236
Phone (618) 281-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038004362 | Medicaid | IL |
Other names 1
- Dr. Kathleen Mestdagh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
109 Wedgewood Dr
Columbia, IL 62236-1016
Phone (618) 281-7171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAuliffe Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
109 Wedgewood Dr
Columbia, IL 62236
Phone (618) 281-7171
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.
-
- Chiropractor
- Columbia, IL
- NPI 1386106169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1043319015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 WEDGEWOOD DRIVE",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "62236",
"telephone_number": "618-281-7171",
"fax_number": "618-281-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 WEDGEWOOD DRIVE",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "62236",
"telephone_number": "618-281-7171",
"fax_number": "618-281-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCAULIFFE",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038004362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038004362",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "MESTDAGH",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.