Active NPI
Kerri Lynn Henderson, DC
- Chiropractor
- Jackson, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3562
- Practice address
- 405 2ND St
Jackson, MN 56143-1641 - Phone
- (507) 847-2112
- Fax
- (507) 847-3545
- NPI assigned
- Oct 17, 2006
- Last updated
- Dec 30, 2024
- 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 | 3562 | MN | Primary |
Addresses
Primary practice location
405 2ND St
Jackson, MN 56143-1641
Mailing address
405 2ND St
Jackson, MN 56143-1641
Phone (507) 478-2112
Other names 1
- Dr. Kerri Lynn Butteris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
405 2ND St
Jackson, MN 56143-1641
Phone (507) 847-2112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Health Chiropractic & Acupuncture, PA | Chiropractor | Current | Accepting new patients |
| Jackson Chiropractic of Lake Crystal | Chiropractor | Past | Accepting new patients |
Locations
115 W Blue Earth Ave
Fairmont, MN 56031
Phone (507) 235-5505
923 N State St
Ste 140
Fairmont, MN 56031
Phone (507) 235-5505
405 2nd St
Jackson, MN 56143
Phone (507) 478-2112
Interoperability endpoints
- kbutteris@ohc0006.direct.chirotouch.md
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Jackson, MN
- NPI 1972854040
-
- Chiropractor
- Lake Crystal, MN
- NPI 1467524371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1588744155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 2ND ST",
"city": "JACKSON",
"state": "MN",
"postal_code": "561431641",
"telephone_number": "507-478-2112",
"fax_number": "507-847-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 2ND ST",
"city": "JACKSON",
"state": "MN",
"postal_code": "561431641",
"telephone_number": "507-847-2112",
"fax_number": "507-847-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "KERRI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "BUTTERIS",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.