Katherine M Gravesen, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1238 Issued in HI

Practice address

30 East Lipoa
#4-102
Kihei, HI 96753

Phone

(715) 262-8555

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sol Chiropractic Inc 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (3 of 5)

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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.

• Sol Chiropractic Inc.

  • Chiropractor
  • Kihei, HI
  • NPI 1154721355
  Medicare reassignment Care Compare group NPD Authorized official
• Essential Chiropractic SC

  • Chiropractor
  • Red Wing, MN
  • NPI 1013244656
  NPD (past) Authorized official
• Rae Chiropractic, LLC

  • Chiropractor
  • Prescott, WI
  • NPI 1689087876
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1063545234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EAST LIPOA",
            "address_2": "#4-102",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "715-262-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EAST LIPOA",
            "address_2": "#4-102",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "715-262-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVESEN",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3723-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gontoski, PT
• Henrietta Gonzalez
• Jonathan Gonzalez
• Cailin Goodier
• Tamra Lynn Gossard
• Kathleen Elizabeth Gregory, DACM
• Bernadette Elizabeth Griebenow, LMT
• Marcus Griffin, M.D.
• Laura Grooms
• Jamie Lynn Gruen-Baldwin, MA, MFT

• All providers in Kihei, HI
• Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.