Individual provider Active NPI

Katerine Raymondi, D.C.

  • Chiropractor
  • Corona, NY
National Provider Identifier
1447547096
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012537-1 Issued in NY
Practice address
10114 39TH Ave
Corona, NY 11368-4805
Phone
(718) 205-1513
Fax
(718) 651-5024
NPI assigned
Jul 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012537-1 NY Primary
Chiropractor 111N00000X 38MC00693500 NJ

Addresses

Primary practice location

10114 39TH Ave
Corona, NY 11368-4805

Mailing address

10114 39TH Ave
Corona, NY 11368-4805
Phone (718) 205-1513

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012537-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Chiropractic Center LLC Chiropractor Past Accepting new patients
Cordova Chiropractic PC Chiropractor Past Accepting new patients

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": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1447547096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10114 39TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684805",
            "telephone_number": "718-205-1513",
            "fax_number": "718-651-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10114 39TH AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684805",
            "telephone_number": "718-205-1513",
            "fax_number": "718-651-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMONDI",
        "first_name": "KATERINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-04",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012537-1",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00693500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.