Individual provider Active NPI

Christina Cathleen Kulesz, D.C.

  • Chiropractor
  • Batavia, NY
National Provider Identifier
1366895773
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013358 Issued in NY
Practice address
46 Batavia City Ctr
Batavia, NY 14020-2107
Phone
(585) 344-1682
Fax
(585) 344-1635
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013358 NY Primary

Addresses

Primary practice location

46 Batavia City Ctr
Batavia, NY 14020-2107

Mailing address

46 Batavia City Ctr
Batavia, NY 14020-2107
Phone (585) 344-1682

Other practice location 1

2415 SE 165th Ave Ste 105
Vancouver, WA 98683-4324
Phone (360) 823-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180214000822 WA Practitioner - Chiropractic 7214297159 Reassigns benefits to 1 organization
I20200924002344 NY Practitioner - Chiropractic 7214297159 Practice locations: Batavia, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46 Batavia City Ctr
Batavia, NY 14020-2107
Phone (585) 344-1862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013358NYMDChiropractor
013358NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Family Chiropractic, PLLC Chiropractor CurrentSince Jan 30, 2018 Accepting new patients
Theresa S. Yasses Chiropractor PastSince Jun 21, 2020 Accepting new patients

Locations

2415 SE 165th Ave
Ste 105
Vancouver, WA 98683
Phone (360) 823-2225

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1366895773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BATAVIA CITY CTR",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202107",
            "telephone_number": "585-344-1682",
            "fax_number": "585-344-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BATAVIA CITY CTR",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202107",
            "telephone_number": "585-344-1682",
            "fax_number": "585-344-1635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 SE 165th Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986834324",
            "country_code": "US",
            "telephone_number": "360-823-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULESZ",
        "first_name": "CHRISTINA",
        "middle_name": "CATHLEEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.