Active NPI
Celeste Marie Krawchuk, DC
- Chiropractor
- Berryville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556190
- Practice address
- 101 E Main St
Suite 102
Berryville, VA 22611-1384 - Phone
- (540) 955-3355
- Fax
- (540) 955-0498
- NPI assigned
- Dec 28, 2005
- Last updated
- Jun 3, 2013
- 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 | 0104556190 | VA | Primary |
Addresses
Primary practice location
101 E Main St
Suite 102
Berryville, VA 22611-1384
Mailing address
101 E Main St
Suite 102
Berryville, VA 22611-1384
Phone (540) 955-3355
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465994 | Other | VA | ANTHEM |
| 70466 | Other | VA | OPTIMA |
| 2202095000 | Medicaid | WV | |
| 612441 | Other | HEALTH LINK NCPPO | |
| 601858500 | Other | US DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 E Main St
Suite 102
Berryville, VA 22611-1385
Phone (540) 955-3355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kotkin Chiropractic Center PLC | Chiropractor | Current | Accepting new patients |
| Dr Krawchuk PLC | Chiropractor | Current | Accepting new patients |
| Kentuckiana Center for Education, Health and Research, Inc | Chiropractor | Past | Accepting new patients |
Locations
101 E Main St
Ste 102
Berryville, VA 22611
Phone (540) 955-3355
1809 Plaza Dr
Winchester, VA 22601
Phone (540) 667-7300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Berryville, VA
- NPI 1679808174
-
- Chiropractor
- Winchester, VA
- NPI 1508950452
-
dba Kentuckiana Children's Center
- Chiropractor
- Louisville, KY
- NPI 1952466161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1558348995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E MAIN ST",
"address_2": "SUITE 102",
"city": "BERRYVILLE",
"state": "VA",
"postal_code": "226111384",
"telephone_number": "540-955-3355",
"fax_number": "540-955-0498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E MAIN ST",
"address_2": "SUITE 102",
"city": "BERRYVILLE",
"state": "VA",
"postal_code": "226111384",
"telephone_number": "540-955-3355",
"fax_number": "540-955-0498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAWCHUK",
"first_name": "CELESTE",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "465994",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "70466",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2202095000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK NCPPO",
"identifier": "612441",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "601858500",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berryville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.