Individual provider Active NPI

Katrina Lynn Kinowski, DC

  • Chiropractor
  • Dubuque, IA
National Provider Identifier
1619447844
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
105269 Issued in IA
Practice address
2255 John F Kennedy Rd Ste 300
Dubuque, IA 52002-2846
Phone
(847) 946-6848
NPI assigned
Nov 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 105269 IA Primary

Addresses

Primary practice location

2255 John F Kennedy Rd Ste 300
Dubuque, IA 52002-2846

Mailing address

2255 John F Kennedy Rd Ste 300
Dubuque, IA 52002-2846
Phone (847) 946-6848

Other practice location 1

800 S Northwest Hwy Ste 101
Barrington, IL 60010-4681
Phone (847) 381-1110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010001116 IA Practitioner - Chiropractic 2062822703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2255 John F Kennedy Rd
Suite 300
Dubuque, IA 52002-2846
Phone (847) 946-6848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Team Chiropractic LLC Chiropractor CurrentSince Sep 9, 2022 Accepting new patients
Cox Chiropractic, LTD. Chiropractor Past Accepting new patients

Locations

2255 John F Kennedy Rd
Ste 300
Dubuque, IA 52002
Phone (847) 946-6848

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.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1619447844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 JOHN F KENNEDY RD STE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022846",
            "telephone_number": "847-946-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 JOHN F KENNEDY RD STE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022846",
            "telephone_number": "847-946-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Northwest Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600104681",
            "country_code": "US",
            "telephone_number": "847-381-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINOWSKI",
        "first_name": "KATRINA",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "105269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.