Kylie Brook Simnioniw, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

835 Issued in ND

Practice address

110 S Central Ave
Beach, ND 58621-4001

Phone

(701) 872-7520

Fax

(701) 872-7521

NPI assigned

Feb 12, 2009

Sex

Female

Sole proprietor

No

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.

• Holkup Chiropractic Clinic PC

  • Chiropractor
  • Beach, ND
  • NPI 1194752717
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2009.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1154560274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S CENTRAL AVE",
            "address_2": "PO BOX 908",
            "city": "BEACH",
            "state": "ND",
            "postal_code": "586214001",
            "telephone_number": "701-872-7520",
            "fax_number": "701-872-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S CENTRAL AVE",
            "city": "BEACH",
            "state": "ND",
            "postal_code": "586214001",
            "telephone_number": "701-872-7520",
            "fax_number": "701-872-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMNIONIW",
        "first_name": "KYLIE",
        "middle_name": "BROOK",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob P Holkup, DC
• Juanita Michelle Hutchison
• Kristina M Olstad, PA
• Cheryl Dianne Planert, LMFT
• April Marie Raymos
• St Joseph'S Hospital and Health Center
• Teresa Steele, LCSW
• Donald Royce Sutton, RPH
• Telepharmacy Concepts Inc.

• All providers in Beach, ND
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.