Active NPI
Colleen M Kill, DC
- Chiropractor
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010790
- Practice address
- 610 W Michigan Ave
Jackson, MI 49201-1907 - Phone
- (517) 784-9101
- Fax
- (517) 796-3140
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 2301010790 | MI | Primary |
Addresses
Primary practice location
610 W Michigan Ave
Jackson, MI 49201-1907
Mailing address
610 W Michigan Ave
Jackson, MI 49201-1907
Phone (517) 784-9101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1851 44TH St SW N
Novo Chiropractic Wyoming
Wyoming, MI 49519-6440
Phone (616) 538-9880
5570 Wilson Ave SW
Suite MN
Wyoming, MI 49418-8867
Phone (616) 259-9835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010790 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novo Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Balance GR | Chiropractor | Past | Accepting new patients |
Locations
5570 Wilson Ave SW
Ste L
Wyoming, MI 49418
Phone (616) 259-9835
1851 44th St SW
Ste N
Wyoming, MI 49519
Phone (616) 259-9835
5570 Wilson Ave SW
Ste Mn
Wyoming, MI 49418
Phone (616) 259-8935
Organizations & group practices 2
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.
-
- Chiropractor
- Wyoming, MI
- NPI 1417328659
-
- Chiropractor
- Wyoming, MI
- NPI 1295158053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1578024485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011907",
"telephone_number": "517-784-9101",
"fax_number": "517-796-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011907",
"telephone_number": "517-784-9101",
"fax_number": "517-796-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILL",
"first_name": "COLLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.