Active NPI
Kathryn Mary Frances Meeker, DC
- Chiropractor
- Colona, IL
National Provider Identifier
1477558989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-010223
- Practice address
- 532 Green Park Ave
#6
Colona, IL 61241-9633 - Phone
- (309) 796-3970
- Fax
- (309) 796-3972
- NPI assigned
- Jun 21, 2005
- 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 | 038-010223 | IL | Primary |
Addresses
Primary practice location
532 Green Park Ave
#6
Colona, IL 61241-9633
Mailing address
532 Green Park Ave
#6
Colona, IL 61241-9633
Phone (309) 796-3970
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038-010223 | Other | IL | STATE LIC |
| 3732017 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041019001403 | IL | Practitioner - Chiropractic | 3274594676 | Practice locations: Colona, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
532 Green Park Ave
Colona, IL 61241-9633
Phone (309) 796-3970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010223 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1477558989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 GREEN PARK AVE",
"address_2": "#6",
"city": "COLONA",
"state": "IL",
"postal_code": "612419633",
"telephone_number": "309-796-3970",
"fax_number": "309-796-3972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 GREEN PARK AVE",
"address_2": "#6",
"city": "COLONA",
"state": "IL",
"postal_code": "612419633",
"telephone_number": "309-796-3970",
"fax_number": "309-796-3972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKER",
"first_name": "KATHRYN",
"middle_name": "MARY FRANCES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "038-010223",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3732017",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colona, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.