Individual provider Active NPI

Keri Ann Hagenston, D.C.

  • Chiropractor
  • Albany, NY
National Provider Identifier
1497916902
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011693-1 Issued in NY
Practice address
2 Tower PL
Albany, NY 12203-3735
Phone
(518) 313-6470
Fax
(888) 557-6459
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011693-1 NY Primary

Addresses

Primary practice location

2 Tower PL
Albany, NY 12203-3735

Mailing address

2 Tower PL
Albany, NY 12203-3735
Phone (518) 313-6470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000006 NY Practitioner - Chiropractic 2961670203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011693-1NYMDChiropractor
011693NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enlighten Chiropractic, PLLC Chiropractor CurrentSince Dec 21, 2019 Accepting new patients
Bodywork for Wellness Manual Physical Therapy&Therapeutic Massage PLLC CurrentSince Dec 21, 2019 Accepting new patients
East Greenbush Chiropractic PLLC Chiropractor PastSince Jun 23, 2018 Accepting new patients
East Greenbush Chiropractic PLLC Chiropractor Past Accepting new patients

Locations

2 Tower Pl
Stuyvesant Plaza, NY 12203
Phone (518) 313-6470

Organizations & group practices 4

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1497916902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TOWER PL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033735",
            "telephone_number": "518-313-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TOWER PL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033735",
            "telephone_number": "518-313-6470",
            "fax_number": "888-557-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENSTON",
        "first_name": "KERI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011693-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.