Active NPI
Kathryn Penniman Alexander, DC CHIROPRACTOR
- Chiropractor
- Annapolis, MD
National Provider Identifier
1306911409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 502083
- Practice address
- 108 Old Solomons Island Rd
BLDG 2 Ste a
Annapolis, MD 21401 - Phone
- (410) 266-1638
- Fax
- (410) 266-6205
- NPI assigned
- Nov 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 502083 | MD | Primary |
Addresses
Primary practice location
108 Old Solomons Island Rd
BLDG 2 Ste a
Annapolis, MD 21401
Mailing address
PO Box 188
Edgewater, MD 21037
Phone (410) 266-1638
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G3390001 | Other | MD | BLUE CROSS BLUE SHIELD |
| M683 | Other | MD | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040406001259 | MD | Practitioner - Chiropractic | 1557354438 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1610 W St
Suite 205
Annapolis, MD 21401-4054
Phone (410) 570-0717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 502083 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attunement Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
1610 West St
Ste 205
Annapolis, MD 21401
Phone (410) 570-0717
203 Ridgely Ave
Annapolis, MD 21401
Phone (301) 261-1053
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.
-
- Chiropractor
- Annapolis, MD
- NPI 1437658754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306911409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "21037",
"telephone_number": "410-266-1638",
"fax_number": "410-266-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OLD SOLOMONS ISLAND RD",
"address_2": "BLDG 2 STE A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "21401",
"telephone_number": "410-266-1638",
"fax_number": "410-266-6205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "KATHRYN",
"middle_name": "PENNIMAN",
"credential": "DC CHIROPRACTOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "502083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "G3390001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M683",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.