Individual provider Active NPI

Kendra Rachelle Catron, D.C.

  • Chiropractor
  • Monticello, KY
National Provider Identifier
1194006486
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5306 Issued in KY
Practice address
470 N Main St
Monticello, KY 42633-1532
Phone
(606) 340-1784
NPI assigned
Aug 31, 2011
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5306 KY Primary

Addresses

Primary practice location

470 N Main St
Monticello, KY 42633-1532

Mailing address

470 N Main St
Monticello, KY 42633-1532
Phone (606) 340-1784

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111109000475 KY Practitioner - Chiropractic 9032382973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 N Main St
Suite 9
Monticello, KY 42633-2046
Phone (606) 340-1784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5306KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Chiropractic, PLLC Chiropractor CurrentSince Nov 1, 2011 Accepting new patients

Locations

1500 N Main St
Monticello, KY 42633
Phone (606) 340-9941

1500 N Main St
Ste 9
Monticello, KY 42633
Phone (606) 278-4131

Organizations & group practices 1

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1194006486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331532",
            "telephone_number": "606-340-1784",
            "fax_number": "888-878-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331532",
            "telephone_number": "606-340-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATRON",
        "first_name": "KENDRA",
        "middle_name": "RACHELLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.