Individual provider Active NPI

Kathy S Brown, D.C.

  • Chiropractor
  • Farmington, IL
National Provider Identifier
1588792147
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007168 Issued in IL
Practice address
23 E Vernon St
Farmington, IL 61531-1278
Phone
(309) 245-9070
Fax
(309) 245-9070
NPI assigned
Mar 2, 2007
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007168 IL Primary

Addresses

Primary practice location

23 E Vernon St
Farmington, IL 61531-1278

Mailing address

23 E Vernon St
Farmington, IL 61531-1278
Phone (309) 245-9070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000813 IL Practitioner - Chiropractic 9436342912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23 E Vernon St
Farmington, IL 61531-1278
Phone (309) 245-9070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007168ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Family Chiropractic PC Chiropractor CurrentSince Dec 31, 1996 Accepting new patients

Locations

23 E Vernon St
Farmington, IL 61531
Phone (309) 245-9070

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1588792147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E VERNON ST",
            "city": "FARMINGTON",
            "state": "IL",
            "postal_code": "615311278",
            "telephone_number": "309-245-9070",
            "fax_number": "309-245-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E VERNON ST",
            "city": "FARMINGTON",
            "state": "IL",
            "postal_code": "615311278",
            "telephone_number": "309-245-9070",
            "fax_number": "309-245-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.

Verify at the official NPI Registry.