Individual provider Active NPI

Kristen Elizabeth Howard, D.C.

  • Chiropractor
  • Rome, NY
National Provider Identifier
1760650485
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011520 Issued in NY
Practice address
203 W Thomas St
Rome, NY 13440-5007
Phone
(315) 337-0300
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011520 NY Primary

Addresses

Primary practice location

203 W Thomas St
Rome, NY 13440-5007

Mailing address

203 W Thomas St
Rome, NY 13440-5007
Phone (315) 337-0300

Other names 1

  • Kristen Elizabeth Donahue Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080428000536 NY Practitioner - Chiropractic 8527146729 Reassigns benefits to 1 organization
Practice locations: Rome, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 W Thomas St
Rome, NY 13440-5007
Phone (315) 337-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011520NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald D Moore DC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1760650485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405007",
            "telephone_number": "315-337-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405007",
            "telephone_number": "315-337-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DONAHUE",
            "middle_name": "ELIZABETH",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.