Kelli Leigh Patenaude, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

011154 Issued in NY

Practice address

172 Hudson Ave.
Stillwater, NY 12170-0427

Phone

(518) 664-4525

Fax

(518) 664-1256

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patenaude Chiropractic LLPGroup PAC ID 8729095773, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patenaude Chiropractic LLP

  dba Schuyler Creek Chiropractic Center

  • Chiropractor
  • Stillwater, NY
  • NPI 1114064516
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366465593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 427",
            "city": "STILLWATER",
            "state": "NY",
            "postal_code": "121700427",
            "telephone_number": "518-664-4525",
            "fax_number": "518-664-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 HUDSON AVE.",
            "city": "STILLWATER",
            "state": "NY",
            "postal_code": "121700427",
            "telephone_number": "518-664-4525",
            "fax_number": "518-664-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATENAUDE",
        "first_name": "KELLI",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "X08P31",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM HEALTH NETWORK",
            "identifier": "20406141101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10110754",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "1065576",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "204061411",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "C11154-4W",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "NY11154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Shea Moskowitz, LMSW
• Melissa Marie Nastasi, PT, DPT
• Luke Nightingale, MD
• Patenaude Chiropractic LLP (Schuyler Creek Chiropractic Center)
• Brady William Patenaude, DC
• Taryn Kaye Putney, M.S., CCC-SLP
• Samaritan Hospital of Troy, New York
• Lauren Sargent
• Seton Health System, Inc.
• Amit Sharma, FNP

• Chiropractor in Stillwater, NY
• Providers in Stillwater, NY by specialty
• Chiropractor in New York

• 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.

Verify at the official NPI Registry.