Individual provider Active NPI

Kerri Michelle Bahnemann, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1699081760
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6355 Issued in CO
Practice address
7610 N Union Blvd Ste 125
Colorado Springs, CO 80920-3806
Phone
(719) 258-8389
NPI assigned
Aug 26, 2010
Last updated
May 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556365 VA
Chiropractor 111N00000X 839 MT
Chiropractor 111N00000X 6355 CO Primary

Addresses

Primary practice location

7610 N Union Blvd Ste 125
Colorado Springs, CO 80920-3806

Mailing address

5421 Hopalong TRL
Colorado Springs, CO 80922-4603
Phone (719) 258-8389

Other names 1

  • Ms. Kerri Michelle Schmidt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110630000309 CO Practitioner - Chiropractic 6507044104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7610 N Union Blvd
Suite 125
Colorado Springs, CO 80920-3806
Phone (719) 258-8389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6355COMDProfessional Counselor
839MTMDClinical Social Worker
0104556365VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bahnemann Family Chiropractic, PC Chiropractor CurrentSince Apr 14, 2011 Accepting new patients
Jimmerson Chiropractic Clinic, Inc. Chiropractor PastSince Oct 15, 2012 Accepting new patients
Sunrise Chiropractic Center P.C. Chiropractor PastSince Apr 14, 2011 Accepting new patients
Wellness Chiropractic Clinic PC Chiropractor Past Accepting new patients

Locations

6130 Barnes Rd
Ste 116
Colorado Springs, CO 80922
Phone (719) 572-0006

7610 N Union Blvd
Ste 125
Colorado Springs, CO 80920
Phone (719) 258-8389

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1699081760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 HOPALONG TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809224603",
            "telephone_number": "719-258-8389",
            "fax_number": "877-816-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 N UNION BLVD STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203806",
            "telephone_number": "719-258-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNEMANN",
        "first_name": "KERRI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556365",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "839",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "SCHMIDT",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.