Individual provider Active NPI

Kaitlynn Kristine Rosier, DC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1346806288
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010820 Issued in MI
Practice address
5738 Foremost Rd
Grand Rapids, MI 49546
Phone
(616) 295-3795
Fax
(616) 259-5008
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010820 MI Primary

Addresses

Primary practice location

5738 Foremost Rd
Grand Rapids, MI 49546

Mailing address

7927 Thornapple Club Dr SE
Ada, MI 49301-9413
Phone (616) 295-3795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620002148 MI Practitioner - Chiropractic 6305170655 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaitlynn Rosier Tefft PLLC Chiropractor CurrentSince Jan 21, 2024 Accepting new patients
Kooistra Chiropractic Clinic PLLC Chiropractor CurrentSince Jun 12, 2019 Accepting new patients
Michigan Pain Consultants PC PastSince Jun 12, 2019 Accepting new patients

Locations

1680 East Paris Ave SE
Grand Rapids, MI 49546
Phone (231) 631-4628

5738 Foremost Dr SE
Grand Rapids, MI 49546
Phone (616) 295-3795

5738 Foremost Dr SE
#132
Grand Rapids, MI 49546
Phone (616) 295-3795

2855 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 532-2518

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDADD

Organizations & group practices 3

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": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1346806288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 THORNAPPLE CLUB DR SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019413",
            "telephone_number": "616-295-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 FOREMOST RD",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-295-3795",
            "fax_number": "616-259-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIER",
        "first_name": "KAITLYNN",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.