Individual provider Active NPI

Katharine Renee Anderson

  • Chiropractor
  • Lake Geneva, WI
National Provider Identifier
1093526410
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6266-12 Issued in WI
Practice address
800 Geneva Pkwy N # 102
Lake Geneva, WI 53147-5701
Phone
(262) 248-4105
NPI assigned
Jan 15, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 6266-12 WI Primary

Addresses

Primary practice location

800 Geneva Pkwy N # 102
Lake Geneva, WI 53147-5701

Mailing address

32434 N Almond Rd
Grayslake, IL 60030-9707
Phone (224) 944-6535

Other practice location 1

1033 Progress Dr
Grayslake, IL 60030-1672
Phone (224) 252-9929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6266-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Chiropractic LLC Chiropractor CurrentSince Jul 9, 2025 Accepting new patients
Wisconsin Spinal Rehabilitation Center, S.C. CurrentSince Jan 19, 2025 Accepting new patients

Locations

1033 Progress Dr
Grayslake, IL 60030
Phone (224) 252-9929

800 Geneva Pkwy N
#102
Lake Geneva, WI 53147
Phone (262) 248-4105

Organizations & group practices 2

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1093526410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32434 N ALMOND RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600309707",
            "telephone_number": "224-944-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GENEVA PKWY N # 102",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531475701",
            "telephone_number": "262-248-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 Progress Dr",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600301672",
            "country_code": "US",
            "telephone_number": "224-252-9929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHARINE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6266-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.