Kathlynn Jon Stull, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008480 Issued in MI

Practice address

2820 Niles Rd
Saint Joseph, MI 49085-3355

Phone

(269) 429-1982

Fax

(269) 556-9615

NPI assigned

Jul 24, 2007

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stull Chiropractic PLC

  • Chiropractor
  • Saint Joseph, MI
  • NPI 1023296654
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237507200000",
    "number": "1184824476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853355",
            "telephone_number": "269-429-1982",
            "fax_number": "269-556-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490853355",
            "telephone_number": "269-429-1982",
            "fax_number": "269-556-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "KATHLYNN",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "950A111580",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "950A111370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Stocker
• Alexander Ray Stoddard, MD
• Jenna Elise Stoddard, OD
• Stuart Boekeloo, DDS, PC
• Stull Chiropractic PLC
• Michael Joseph Stusick, D.D.S.P.C.
• Ted Sugimoto, MD
• Frederick Tobin Sulier, ED.D
• Devin Sullivan, DNP
• Andrew J Summerville, P.A.

• Chiropractor in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.