Active NPI
Katelyn Ann De Kruyff, DC
- Chiropractor
- Altoona, IA
National Provider Identifier
1659980191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 100238
- Practice address
- 204 8TH St SE Ste a
Altoona, IA 50009-1951 - Phone
- (515) 957-1451
- NPI assigned
- Jul 30, 2020
- 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 | 100238 | IA | Primary |
Addresses
Primary practice location
204 8TH St SE Ste a
Altoona, IA 50009-1951
Mailing address
204 8TH St SE Ste a
Altoona, IA 50009-1951
Phone (515) 957-1451
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100238 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Pediatrics, P.L.C | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25081/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1659980191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 8TH ST SE STE A",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500091951",
"telephone_number": "515-957-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 8TH ST SE STE A",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500091951",
"telephone_number": "515-957-1451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE KRUYFF",
"first_name": "KATELYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "100238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.