Individual provider Active NPI

Kathleen Rizenbergs, DC

  • Chiropractor
  • Richmond, KY
National Provider Identifier
1366959462
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5564 Issued in KY
Practice address
837 Eastern Byp Ste a
Richmond, KY 40475-3326
Phone
(859) 623-4123
Fax
(859) 623-2037
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5564 KY Primary

Addresses

Primary practice location

837 Eastern Byp Ste a
Richmond, KY 40475-3326

Mailing address

837 Eastern Byp Ste a
Richmond, KY 40475-3326
Phone (859) 623-4123

Other practice location 1

220 Geri Ln
Richmond, KY 40475
Phone (859) 623-4123

Other practice location 2

2530 Sir Barton Way Ste 125
Lexington, KY 40509-2275
Phone (859) 287-1170

Other practice location 3

1004 Dewey Dr Ste C
Lawrenceburg, KY 40342-1761
Phone (502) 839-7171

Other names 1

  • Kathleen Gildehaus Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412000994 KY Practitioner - Chiropractic 3779846340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

837 Eastern Byp
Suite a
Richmond, KY 40475-3326
Phone (859) 623-4123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5564KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boardman Family Chiropractic PSC Chiropractor CurrentSince Dec 27, 2018 Accepting new patients
Max Family Chiropractic , Rebecca Pangemanan DC LLC Chiropractor PastSince Mar 29, 2018 Accepting new patients

Locations

837 Eastern Byp
Ste A
Richmond, KY 40475
Phone (859) 623-4123

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1366959462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 EASTERN BYP STE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753326",
            "telephone_number": "859-623-4123",
            "fax_number": "859-623-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 EASTERN BYP STE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753326",
            "telephone_number": "859-623-4123",
            "fax_number": "859-623-2037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Geri Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "40475",
            "country_code": "US",
            "telephone_number": "859-623-4123",
            "fax_number": "859-623-2037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2530 Sir Barton Way Ste 125",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092275",
            "country_code": "US",
            "telephone_number": "859-287-1170",
            "fax_number": "859-287-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Dewey Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "KY",
            "postal_code": "403421761",
            "country_code": "US",
            "telephone_number": "502-839-7171",
            "fax_number": "502-839-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZENBERGS",
        "first_name": "KATHLEEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "GILDEHAUS",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.