Kathryn Michelle Willimetz

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2020012743 Issued in MO

Practice address

2330 Vintage CT
Excelsior Springs, MO 64024-8011

Phone

(816) 876-4577

NPI assigned

May 13, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• First Resort Chiropractic

  • Chiropractor
  • Excelsior Springs, MO
  • NPI 1205445236
  Medicare reassignment NPD Authorized official
• Swindler Chiropractic LLC

  • Chiropractor
  • Excelsior Springs, MO
  • NPI 1396628343
  NPD (past)

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1487276408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 VINTAGE CT",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640248011",
            "telephone_number": "816-876-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 VINTAGE CT",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640248011",
            "telephone_number": "816-876-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIMETZ",
        "first_name": "KATHRYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020012743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Firstresortchiropractic@outlook.com",
            "affiliation": "N",
            "address_1": "2330 Vintage Ct",
            "city": "Excelsior Springs",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640248011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co
• Anna M Wells, APRN
• Joseph S. Whitehead, D.D.S.
• Maegan Lynn Whitworth, PT, DPT
• Samantha Wilkins, LPN
• Angela T. Wilson, PT
• Cynthia NMN Wilson, PMHNP-C
• Heather Marie Wilson, D.O.
• Wisdom Dental Group Excelsior Springs LLC
• Morgan Wood

• Chiropractor in Excelsior Springs, MO
• Providers in Excelsior Springs, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.

Verify at the official NPI Registry.