Katherine Lynn Harley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010592 Issued in IL

Practice address

1117 W North First St
Shelbyville, IL 62565

Phone

(217) 774-5313

Fax

(217) 774-5314

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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.

• Harley Chiropractic, LLC

  • Chiropractor
  • Sullivan, IL
  • NPI 1427450220
  Medicare reassignment NPD Authorized official
• Murray Chiropractic and Acupuncture, LLC

  • Chiropractor
  • Sullivan, IL
  • NPI 1134561665
  NPD (past)

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Dr. Katherine Lynn Hilligoss Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2007.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1255434866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 W NORTH FIRST ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "62565",
            "telephone_number": "217-774-5313",
            "fax_number": "217-774-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 W NORTH FIRST ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "62565",
            "telephone_number": "217-774-5313",
            "fax_number": "217-774-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLEY",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8715006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HILLIGOSS",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abby Rose Goeckner
• Bradi Gordon
• Lisa Michelle Graham
• Kristin Marie Haag, PA-C
• Daryn Jordan Handlin, APRN
• Brian L Hastings, DDS
• Gary D Hayden, PA-C
• Kristina Hebert, PHARM D
• Highland Park CVS, L.L.C.
• Brooke Elizabeth Hille, OTR/L

• All providers in Shelbyville, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.