Organization Active NPI

Patenaude Chiropractic LLP

Doing business as Schuyler Creek Chiropractic Center

  • Chiropractor
  • Stillwater, NY
National Provider Identifier
1114064516
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011154 Issued in NY
Legal business name
PATENAUDE CHIROPRACTIC LLP
Doing business as
Schuyler Creek Chiropractic Center
Practice address
781 Hudson Ave
Stillwater, NY 12170-0427
Phone
(518) 664-4525
Fax
(518) 664-1256
NPI assigned
Feb 1, 2007
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. Kelli Leigh Patenaude, DCNPI 1366465593
Title
Chiropractor Partner
Phone
(518) 664-4525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011154 NY Primary

Addresses

Primary practice location

781 Hudson Ave
Stillwater, NY 12170-0427

Mailing address

PO Box 427
Stillwater, NY 12170-0427
Phone (518) 664-4525

Other names 1

  • Schuyler Creek Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060315000616 NY Part B Supplier - Clinic/Group Practice 8729095773 Receives reassigned benefits from 2 practitioners
Practice locations: Stillwater, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1114064516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "STILLWATER",
            "state": "NY",
            "postal_code": "121700427",
            "telephone_number": "518-664-4525",
            "fax_number": "518-664-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 HUDSON AVE",
            "city": "STILLWATER",
            "state": "NY",
            "postal_code": "121700427",
            "telephone_number": "518-664-4525",
            "fax_number": "518-664-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATENAUDE CHIROPRACTIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "PATENAUDE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CHIROPRACTOR PARTNER",
        "authorized_official_telephone_number": "518-664-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schuyler Creek Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stillwater, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.