Catherine Clancy Kellis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557941 Issued in VA

Practice address

9173 Atlee Rd
Mechanicsville, VA 23116-2506

Phone

(804) 730-7010

NPI assigned

Nov 8, 2023

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 VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlee Chiropractic Center PCGroup PAC ID 6406840834, 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.

• Atlee Chiropractic Center, P.C.

  • Chiropractor
  • Mechanicsville, VA
  • NPI 1538134143
  Medicare reassignment Care Compare group NPD
• Commonwealth Spine Care, LLC

  • Chiropractor
  • Mechanicsville, VA
  • NPI 1699104091
  NPD

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1275307498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9173 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162506",
            "telephone_number": "804-730-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9173 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162506",
            "telephone_number": "804-730-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIS",
        "first_name": "CATHERINE",
        "middle_name": "CLANCY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Keever, DPT
• Annette Alyson Keffer, DPT
• Gerald E Keightley, M.D.
• Chloe Elaine Kellam, WHNP-BC
• Sallie Keller, LPTA
• Karlie Kellstrom, PA
• Kelly M. Chadwick, LCSW, LLC (KMC, LLC)
• David L. Kelly, M.D.
• Leah Kemler, PA-C
• Guillaume Kengni

• Chiropractor in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.