Active NPI
Kathleen Elizabeth Arnold, D.C.
- Chiropractor
- Sturgeon Bay, WI
National Provider Identifier
1285981985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4897-12
- Practice address
- 30 N 18TH Ave Ste 10B
Sturgeon Bay, WI 54235-3207 - Phone
- (920) 818-0045
- Fax
- (920) 818-0045
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4897-12 | WI | Primary |
Addresses
Primary practice location
30 N 18TH Ave Ste 10B
Sturgeon Bay, WI 54235-3207
Mailing address
30 N 18TH Ave Ste 10B
Sturgeon Bay, WI 54235-3207
Phone (920) 818-0045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130605000174 | WI | Practitioner - Chiropractic | 9537307418 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
30 N 18TH Ave
Suite 10B
Sturgeon Bay, WI 54235-3207
Phone (920) 818-0045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4897-12 | WI | MD | Chiropractor |
Organizations & group practices 1
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": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1285981985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 18TH AVE STE 10B",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542353207",
"telephone_number": "920-818-0045",
"fax_number": "920-818-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 18TH AVE STE 10B",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542353207",
"telephone_number": "920-818-0045",
"fax_number": "920-818-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4897-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.