Kathleen M Ruebbelke, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-005912 Issued in IL

Practice address

1601 52ND Ave Ste 5
Moline, IL 61265-6389

Phone

(309) 797-9777

Fax

(309) 797-1007

NPI assigned

Feb 5, 2007

Last updated

Oct 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Real Health Chiropractic

  • Chiropractor
  • Moline, IL
  • NPI 1760816631
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1417096736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 52ND AVE",
            "address_2": "SUITE 5",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656389",
            "telephone_number": "309-797-9777",
            "fax_number": "309-797-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 52ND AVE STE 5",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656389",
            "telephone_number": "309-797-9777",
            "fax_number": "309-797-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEBBELKE",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Moline, IL
• Providers in Moline, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.