Carri Lynn Kennedy, D.C..

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4971-12 Issued in WI

Practice address

109A S Center Ave
Merrill, WI 54452-1237

Phone

(715) 539-9797

Fax

(715) 539-9098

NPI assigned

Jun 10, 2013

Last updated

Oct 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gress Chiropractic Clinic, LLCGroup PAC ID 2769492859, 3 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gress Chiropractic Clinic, LLC

  dba Wellness Center at Gress Chiropractic

  • Chiropractor
  • Merrill, WI
  • NPI 1578618187
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1225476591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109A S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544521237",
            "telephone_number": "715-539-9797",
            "fax_number": "715-539-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109A S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544521237",
            "telephone_number": "715-539-9797",
            "fax_number": "715-539-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CARRI",
        "middle_name": "LYNN",
        "credential": "D.C..",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4971-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Johnson
• Robert G Johnson
• Ann Kaarre
• Lynn Karau, LPN
• Megan Jo Kaya, CCC-SLP
• Kindhearted Home Care, LLC
• Mary J Klade, RN
• Kathleen Klingbeil
• Travis Lee Klug
• Melissa Koengeter, APNP

• Chiropractor in Merrill, WI
• Providers in Merrill, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.