Individual provider Active NPI

Katelynn Ann Vanderkooi, DC

  • Chiropractor
  • Wyoming, MI
National Provider Identifier
1316822943
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401606 Issued in MI
Practice address
4415 Byron Center Ave SW
Wyoming, MI 49519-4800
Phone
(616) 534-2944
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401606 MI Primary

Addresses

Primary practice location

4415 Byron Center Ave SW
Wyoming, MI 49519-4800

Mailing address

4415 Byron Center Ave SW
Wyoming, MI 49519-4800
Phone (616) 534-2944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020002505 MI Practitioner - Chiropractic 2365930617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halliday Health Solutions, L.L.C.Group PAC ID 7911092242, 2 clinicians
Parker Bowen DC PLLCGroup PAC ID 6305327875, 2 clinicians

Practice addresses (Care Compare)

4415 Byron Ctr Ave SW
Wyoming, MI 49519-4800
Phone (616) 534-2944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401606MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Bowen DC PLLC Chiropractor CurrentSince Jan 17, 2026 Accepting new patients
Halliday Health Solutions, L.L.C. Chiropractor CurrentSince Oct 13, 2025 Accepting new patients

Locations

4415 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 249-0159

4415 Byron Center Ave SW
Ofc 2
Wyoming, MI 49519

Organizations & group practices 2

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1316822943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194800",
            "telephone_number": "616-534-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194800",
            "telephone_number": "616-534-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKOOI",
        "first_name": "KATELYNN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.