Individual provider Active NPI

Katrina Marie Neyer, D.C.

  • Chiropractor
  • Manchester, CT
National Provider Identifier
1295968295
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001779 Issued in CT
Practice address
63 E Center St Ste 2B
Manchester, CT 06040-5221
Phone
(860) 649-2225
Fax
(860) 649-2220
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001779 CT Primary

Addresses

Primary practice location

63 E Center St Ste 2B
Manchester, CT 06040-5221

Mailing address

63 E Center St Ste 2B
Manchester, CT 06040-5221
Phone (860) 649-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001779CTMDIntellectual & Developmental Disabilities Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1295968295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E CENTER ST STE 2B",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405221",
            "telephone_number": "860-649-2225",
            "fax_number": "860-649-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E CENTER ST STE 2B",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405221",
            "telephone_number": "860-649-2225",
            "fax_number": "860-649-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYER",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.