Katherine Elizabeth Kearney-Bidwell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4917 Issued in MN

Practice address

1667 17TH Ave E
Suite 103B
Shakopee, MN 55379-4432

Phone

(952) 445-5250

Fax

(952) 445-5350

NPI assigned

Sep 4, 2007

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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthsource of Eden Prairie PLLCGroup PAC ID 7315128600, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Healthsource of Eden Prairie, PLLC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1144523689
  Medicare reassignment Care Compare group NPD Authorized official
• Schroeder Chiropractic, PLLC

  • Chiropractor
  • St Louis Park, MN
  • NPI 1578714226
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1265626147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 MITCHELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442218",
            "telephone_number": "612-396-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 17TH AVE E",
            "address_2": "SUITE 103B",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794432",
            "telephone_number": "952-445-5250",
            "fax_number": "952-445-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY-BIDWELL",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jean Kaste, OTR/L
• Douglas Gerard Kaster, D.C.
• Kavanagh Chiropractic PA
• Sarah Jean Kavanagh, D.C.
• Alexander L Kayser
• Jeffrey Donald Kendall, M.D.
• Herve Bertrand Kengne Mbakam, PHARMD, MS
• Elizabeth Maureen Kennedy Laliberte, PA-C
• Lara Rae Kennedy, PHARMD
• Jacquelyn Lee Kerkow-Dohmen, LICSW

• Chiropractor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.