Individual provider Active NPI

Katie Elizabeth Greeley, D.C.

  • Chiropractor
  • Cedar Park, TX
National Provider Identifier
1194745836
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12133 Issued in TX
Practice address
3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540
Phone
(512) 363-5178
Fax
(512) 339-2664
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12133 TX Primary

Addresses

Primary practice location

3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540

Mailing address

3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540
Phone (512) 363-5178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711001806 TX Practitioner - Chiropractic 6002095544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3109 Kenai Dr
Suite 101
Cedar Park, TX 78613-2540
Phone (512) 363-5178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Greeley DC, Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

3109 Kenai Dr
Ste 101
Cedar Park, TX 78613
Phone (512) 363-5178

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1194745836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 KENAI DR STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132540",
            "telephone_number": "512-363-5178",
            "fax_number": "512-339-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 KENAI DR STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132540",
            "telephone_number": "512-363-5178",
            "fax_number": "512-339-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREELEY",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.