Active NPI
Katja Sara Michelle Reid, DC
- Chiropractor
- Mechanicsville, VA
National Provider Identifier
1275835902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557624
- Practice address
- 9173 Atlee Rd
Mechanicsville, VA 23116-2506 - Phone
- (804) 730-7010
- NPI assigned
- Dec 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5966 | OR | |
| Chiropractor | 111N00000X | 0104557624 | VA | Primary |
Addresses
Primary practice location
9173 Atlee Rd
Mechanicsville, VA 23116-2506
Mailing address
712 N 24TH St
Richmond, VA 23223-6408
Phone (541) 231-9790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240830002196 | NY | Practitioner - Chiropractic | 5395173298 | Practice locations: Ballston Lake, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
325 Ushers Rd
Ballston Lake, NY 12019-1520
Phone (518) 576-0770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5966 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back Again Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Commonwealth Spine Care, LLC | Chiropractor | Current | Accepting new patients |
| Lorraine del Rosso Chiropractic,Dietetics,and Nutrition,PLLC | Past | Accepting new patients | |
| East Greenbush Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Locations
325 Ushers Rd
Ballston Lake, NY 12019
Phone (518) 576-0770
9173 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 277-8599
Organizations & group practices 4
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
- Ballston Lake, NY
- NPI 1265399737
-
- Chiropractor
- Mechanicsville, VA
- NPI 1699104091
-
- Chiropractor
- East Greenbush, NY
- NPI 1245706613
-
- Nutrition Chiropractor
- Malta, NY
- NPI 1275817181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1275835902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 N 24TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232236408",
"telephone_number": "541-231-9790"
},
{
"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": "REID",
"first_name": "KATJA",
"middle_name": "SARA MICHELLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5966",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.