Active NPI
Kathryn S Mead, D.C.
- Chiropractor
- Bartlett, TN
National Provider Identifier
1235405739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2668
- Practice address
- 2845 Summer Oaks Dr
Bartlett, TN 38134-3812 - Phone
- (901) 377-2340
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2668 | TN | Primary |
Addresses
Primary practice location
2845 Summer Oaks Dr
Bartlett, TN 38134-3812
Mailing address
201 NW 13TH St
Ste 3
Beresford, SD 57004-1545
Phone (314) 922-6061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2668 | TN | MD | Physician Assistant |
| 1284 | SD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beresford Family Chiropractic | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Beresford, SD
- NPI 1306487624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1235405739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NW 13TH ST",
"address_2": "STE 3",
"city": "BERESFORD",
"state": "SD",
"postal_code": "570041545",
"telephone_number": "314-922-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 SUMMER OAKS DR",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381343812",
"telephone_number": "901-377-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAD",
"first_name": "KATHRYN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.