Kimberly Susan Demay, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

X010742-1 Issued in NY

Practice address

219 Lake Street
Penn Yan, NY 14527

Phone

(315) 536-3700

Fax

(315) 694-9085

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Susan Andersen Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alessi Chiropractic, PLLC

  • Chiropractor
  • Penn Yan, NY
  • NPI 1689506107
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1104903640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 LAKE STREET",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "14527",
            "telephone_number": "315-536-3700",
            "fax_number": "315-694-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 LAKE STREET",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "14527",
            "telephone_number": "315-536-3700",
            "fax_number": "315-694-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAY",
        "first_name": "KIMBERLY",
        "middle_name": "SUSAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X010742-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ANDERSEN",
            "middle_name": "SUSAN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• CVS Albany, L.L.C.
• Jean Marie Dabbracci, ADULT NP
• Emily Dailey
• Eleanor Hinds De Witt, MD
• Kaitlin Dehond, PT, DPT
• John T Demetros, D.C.
• Paula Marie Detar
• Jennifer M Dillon, MS, OTR/L
• Vicki June Dornberger, MA SLP
• Taryn Price Draxler, M.D.

• Nutrition Chiropractor in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Nutrition Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.