Individual provider Active NPI

Katelyn Elizabeth Pierson-Thomas, DC

  • Chiropractor
  • Wilmington, MA
National Provider Identifier
1487955738
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3641 Issued in MA
Practice address
200 Jefferson Rd Ste 106
Wilmington, MA 01887-1999
Phone
(978) 658-3699
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60183642 WA
Chiropractor 111N00000X 3641 MA Primary

Addresses

Primary practice location

200 Jefferson Rd Ste 106
Wilmington, MA 01887-1999

Mailing address

200 Jefferson Rd Ste 106
Wilmington, MA 01887-1999
Phone (978) 658-3699

Other practice location 1

14862 Lake Hills Blvd
Bellevue, WA 98007-5821
Phone (425) 649-9335

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
CH60183642WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hansen Chiropractic, P.S. Chiropractor Past Accepting new patients
Hansen Chiropractic PS Chiropractor Past Accepting new patients
Integrative Injury Clinic, PS PastSince Jun 6, 2021 Accepting new patients
Hansen Chiropractic PS Chiropractor Past Accepting new patients
Michael J. Thomas, P.C. Chiropractor PastSince Jan 1, 2021 Accepting new patients
Zephyr Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 6

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": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1487955738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON RD STE 106",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871999",
            "telephone_number": "978-658-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON RD STE 106",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018871999",
            "telephone_number": "978-658-3699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14862 Lake Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980075821",
            "country_code": "US",
            "telephone_number": "425-649-9335",
            "fax_number": "425-649-0256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERSON-THOMAS",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2021-02-09",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60183642",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.