Active NPI
Kristen Van de Carr, DC
- Chiropractor
- Florence, KY
National Provider Identifier
1447296512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 251611
- Practice address
- 8640 Haines Dr Ste a
Florence, KY 41042-6935 - Phone
- (859) 240-3596
- Fax
- (614) 401-2484
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 251611 | KY | Primary |
Addresses
Primary practice location
8640 Haines Dr Ste a
Florence, KY 41042-6935
Mailing address
8640 Haines Dr Ste a
Florence, KY 41042-6935
Phone (859) 620-1325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5632232 | Other | IL | BLUE CROSS ID # |
| K25396 | Other | IL | MEDICARE ID # |
| V08376 | Other | IL | NEW MEDICARE UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiro One Wellness Center of Bloomingdale LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Bloomingdale, IL
- NPI 1821026899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1447296512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8640 HAINES DR STE A",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410426935",
"telephone_number": "859-620-1325",
"fax_number": "144-012-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8640 HAINES DR STE A",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410426935",
"telephone_number": "859-240-3596",
"fax_number": "614-401-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DE CARR",
"first_name": "KRISTEN",
"name_prefix": "Ms.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KY",
"license": "251611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID #",
"identifier": "5632232",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID #",
"identifier": "K25396",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEDICARE UPIN",
"identifier": "V08376",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.