Susan P Kilmer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001025 Issued in VA

Practice address

3618 Brambleton Ave
Suite D
Roanoke, VA 24018-3659

Phone

(540) 989-4584

Fax

(540) 725-5396

NPI assigned

Jan 2, 2007

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 4

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tuck Chiropractic Corporation

  • Chiropractor
  • Blacksburg, VA
  • NPI 1003987769
  Medicare reassignment NPD
• DMX of Virginia, Inc

  • Chiropractor
  • Roanoke, VA
  • NPI 1891258570
  NPD (past)
• GST Management Company

  • Chiropractor
  • Roanoke, VA
  • NPI 1598833519
  NPD (past)
• Restorative Healing, PC

  • Chiropractor
  • Roanoke, VA
  • NPI 1720207517
  NPD (past)
• Tuck Chiropractic Corporation

  • Family Medicine Physician
  • Roanoke, VA
  • NPI 1578155610
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396802187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 BRAMBLETON AVE",
            "address_2": "SUITE D",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183659",
            "telephone_number": "540-989-4584",
            "fax_number": "540-725-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 BRAMBLETON AVE",
            "address_2": "SUITE D",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183659",
            "telephone_number": "540-989-4584",
            "fax_number": "540-725-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMER",
        "first_name": "SUSAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "281220",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "613468",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4565063",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "64377",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert S. Kidder, D.M.D.
• Kids Inc.
• Bridget Kiely, DO
• Patrick Kietrsunthorn, MD
• Renee Lynn Kilinski
• Yun Hyei Kim
• Amber Niccole King, PMHNP
• Ashley Brooke King, COTA/L
• Danielle Naomi King, RDH
• Julie Rene King, FNP-BC

• Chiropractor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Chiropractor in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.