Kelsie Keith, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14656 Issued in TX

Practice address

1336 League Line Rd Ste 200
Conroe, TX 77304-3457

Phone

(936) 230-5515

Fax

(936) 230-5516

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandstone Chiropractic Huntsville PLLCGroup PAC ID 0244763241, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sandstone Chiropractic Huntsville, PLLC

  dba Sandstone Chiropractic

  • Chiropractor
  • Huntsville, TX
  • NPI 1043081920
  Medicare reassignment Care Compare group NPD
• MBV PLLC

  • Podiatrist
  • Huntsville, TX
  • NPI 1063290112
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1659035129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 LEAGUE LINE RD STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043457",
            "telephone_number": "936-230-5515",
            "fax_number": "936-230-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 LEAGUE LINE RD STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043457",
            "telephone_number": "936-230-5515",
            "fax_number": "936-230-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "KELSIE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kas Surgical Assistants LLC
• Chandler Kassel
• Jaimee Brooke Kastler, PHD, RN
• Jasleen Kaur, PA-C
• Claire Keh, DDS
• Tiffany Marie Keith
• Shannon Kelley, LPC
• Mary Jaye Kelly Johnston, LPC-S
• Angelina Autin Kelly, RPH
• Leigh Ann Kelly, BSN, RN

• Chiropractor in Conroe, TX
• Providers in Conroe, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.