Kelly Vonderlieth, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013489 Issued in NY

Practice address

187 E Market St
Rhinebeck, NY 12572-1727

Phone

(845) 857-5940

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

Yes

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 NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Rhinebeck Sport & Spine

  • Chiropractor
  • Rhinebeck, NY
  • NPI 1669146270
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1689347601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 E MARKET ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721727",
            "telephone_number": "845-857-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E MARKET ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721727",
            "telephone_number": "845-857-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDERLIETH",
        "first_name": "KELLY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenore Vandemark, RN
• Skylar Vansteemburg
• Jennifer K Vazquez-Bryan, MD
• George Verven, RPH
• Nakesha Vines, RN
• Meaghan McCloskey Wakefield, CRNA
• Elizabeth Walkden, COTA/L
• Katy G Walsh, PH.D.
• Maryalice Waples, R.N.
• Karin Marie Warltier, M.D.

• Chiropractor in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.