Individual provider Active NPI

Kari Glee Schultz, DC

  • Chiropractor
  • Ammon, ID
National Provider Identifier
1790517621
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-2390 Issued in ID
Practice address
2679 E Sunnyside Rd
Ammon, ID 83406-7553
Phone
(208) 213-7929
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-2390 ID Primary

Addresses

Primary practice location

2679 E Sunnyside Rd
Ammon, ID 83406-7553

Mailing address

5885 Spring Meadows Rd Unit B
Pocatello, ID 83202-2564

Other practice location 1

5885 Spring Meadows Rd Unit B
Pocatello, ID 83202-2564
Phone (507) 421-2493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-2390IDMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1790517621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 SPRING MEADOWS RD UNIT B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 E SUNNYSIDE RD",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834067553",
            "telephone_number": "208-213-7929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5885 Spring Meadows Rd Unit B",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832022564",
            "country_code": "US",
            "telephone_number": "507-421-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "KARI",
        "middle_name": "GLEE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.