Individual provider Active NPI

Katie Jolaine Kula, D.C.

  • Chiropractor
  • White Salmon, WA
National Provider Identifier
1790004141
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR.CH.60202833 Issued in WA
Practice address
410 E Jewett Blvd
White Salmon, WA 98672-3002
Phone
(509) 493-4000
Fax
(509) 493-1462
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010002023 MO
Chiropractor 111N00000X CHIR.CH.60202833 WA Primary

Addresses

Primary practice location

410 E Jewett Blvd
White Salmon, WA 98672-3002

Mailing address

PO Box 1759
White Salmon, WA 98672
Phone (509) 493-4000

Other names 1

  • Katie J Horton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000492 WA Practitioner - Chiropractic 4486847977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kula Chiropractic Sports and Wellness Center IncGroup PAC ID 9739409103, 3 clinicians

Practice addresses (Care Compare)

320 E Jewett Blvd
PO Box 1759
White Salmon, WA 98672-1759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010002023MOMDChiropractor
CHIR.CH.60202833WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kula Chiropractic Sports & Wellness Center, Inc CurrentSince Apr 20, 2015 Accepting new patients
Douglas H. Meyer, D.C. P.C. Chiropractor PastSince Jan 1, 2005 Accepting new patients

Locations

410 E Jewett Blvd
White Salmon, WA 98672
Phone (509) 493-4000

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1790004141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1759",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "98672",
            "telephone_number": "509-493-4000",
            "fax_number": "509-493-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E JEWETT BLVD",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986723002",
            "telephone_number": "509-493-4000",
            "fax_number": "509-493-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULA",
        "first_name": "KATIE",
        "middle_name": "JOLAINE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010002023",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.60202833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HORTON",
            "middle_name": "J",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Salmon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.