Active NPI
Kristal Schmidt, DC
- Chiropractor
- Gillette, WY
National Provider Identifier
1619971405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 674
- Practice address
- 201 W Lakeway Rd
Ste 200
Gillette, WY 82718-6341 - Phone
- (307) 682-7885
- Fax
- (307) 682-2153
- NPI assigned
- Jun 9, 2005
- 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 | 674 | WY | Primary |
Addresses
Primary practice location
201 W Lakeway Rd
Ste 200
Gillette, WY 82718-6341
Mailing address
201 W Lakeway Rd
Ste 200
Gillette, WY 82718-6341
Phone (307) 682-7885
Other names 1
- Dr. Kristal Kay Vance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 674 | WY | MD | Chiropractor |
| 5567 | CO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Health and Wellness, Inc. | Chiropractor | Past | Accepting new patients |
| Salsman Chiropractic Health Center | Chiropractor | Past | Accepting new patients |
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.
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1235185547
Chiropractor
-
- Chiropractor
- Colorado Springs, CO
- NPI 1568647550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1619971405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W LAKEWAY RD",
"address_2": "STE 200",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186341",
"telephone_number": "307-682-7885",
"fax_number": "307-682-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LAKEWAY RD",
"address_2": "STE 200",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186341",
"telephone_number": "307-682-7885",
"fax_number": "307-682-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KRISTAL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTAL",
"last_name": "VANCE",
"middle_name": "KAY",
"prefix": "DR.",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.