Individual provider Active NPI

Katja Sara Michelle Reid, DC

  • Chiropractor
  • Mechanicsville, VA
National Provider Identifier
1275835902
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557624 Issued in VA
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

Updated by the provider on Apr 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5966ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back Again Chiropractic, PLLC Chiropractor Current Accepting new patients
Commonwealth Spine Care, LLC Chiropractor CurrentSince Feb 3, 2020 Accepting new patients
Lorraine del Rosso Chiropractic,Dietetics,and Nutrition,PLLC PastSince Oct 5, 2011 Accepting new patients
East Greenbush Chiropractic PLLC Chiropractor PastSince Aug 1, 2024 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.

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.

Verify at the official NPI Registry.