Active NPI
Kathryn Jean Hafer, DC
- Chiropractor
- Kalamazoo, MI
National Provider Identifier
1255365359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301300275
- Practice address
- 1122 S Westnedge
Kalamazoo, MI 49008 - Phone
- (269) 383-4325
- Fax
- (269) 383-4325
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 2301300275 | MI | Primary |
Addresses
Primary practice location
1122 S Westnedge
Kalamazoo, MI 49008
Mailing address
1122 S Westnedge
Kalamazoo, MI 49008
Phone (269) 383-4325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3455962 | Medicaid | MI | |
| 950C950120 | Other | MI | BCROSS |
| P71224 | Other | MI | BSHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529000272 | MI | Practitioner - Chiropractic | 5991834913 | Practice locations: Kalamazoo, MI; Allegan, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1122 S Westnedge
Healing Center
Kalamazoo, MI 49008-1350
Phone (269) 383-4325
1122 S Westnedge Ave
Kalamazoo, MI 49008-1350
500 Linn St
Ofc 2
Allegan, MI 49010-1581
Phone (269) 673-5426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Center | Chiropractor | Past | Accepting new patients |
| David P and Mona E Ruse | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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
- Kalamazoo, MI
- NPI 1679831390
-
- Chiropractor
- Allegan, MI
- NPI 1790811966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1255365359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 S WESTNEDGE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49008",
"telephone_number": "269-383-4325",
"fax_number": "616-396-0486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 S WESTNEDGE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49008",
"telephone_number": "269-383-4325",
"fax_number": "269-383-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFER",
"first_name": "KATHRYN",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301300275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3455962",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCROSS",
"identifier": "950C950120",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSHIELD",
"identifier": "P71224",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.