Kristin Kolesar Fabris, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DCP00564 Issued in RI

Practice address

255 Hope St
Providence, RI 02906-2261

Phone

(401) 337-5684

Fax

(401) 337-9290

NPI assigned

Jan 11, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New England Chiropractic Center LLCGroup PAC ID 1759608037, 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.

• New England Chiropractic Center, LLC

  • Chiropractor
  • Providence, RI
  • NPI 1215344296
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1679759385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062261",
            "telephone_number": "401-337-5684",
            "fax_number": "401-337-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062261",
            "telephone_number": "401-337-5684",
            "fax_number": "401-337-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESAR FABRIS",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA CHIROPRACTIC LICENSE",
            "identifier": "3464",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI CHIROPRACTIC LICENSE",
            "identifier": "DCP00564",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aravind Rao Kokkirala, M.D
• Didem Kokturk, O.D.
• Ivy Kolb, L.I.C.S.W.
• Irene Kolberg, N.P.
• Martha Brown Kole-White, MD
• Meghana Koleti, MD
• Michele Kolodziejczak, RN
• Sreeya Sai Komaravolu, MD
• Mallikarjun Reddy Komsani, MD, MBBS
• Susannah Kondrath, PHD

• Chiropractor in Providence, RI
• Providers in Providence, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.