Individual provider Active NPI

Rachael Ann Kuperus, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1801024591
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5228 Issued in KY
Practice address
105 Lyndon LN
Ste 102
Louisville, KY 40222-5550
Phone
(502) 426-6715
Fax
(502) 426-6716
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 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 38MC00672900 NJ
Chiropractor 111N00000X 5228 KY Primary

Addresses

Primary practice location

105 Lyndon LN
Ste 102
Louisville, KY 40222-5550

Mailing address

7401 New la Grange Rd
Ste 202
Louisville, KY 40222-4813
Phone (502) 426-6715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000779 KY Practitioner - Chiropractic 4082744206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7410 New la Grange Rd
Suite 202
Louisville, KY 40222-4871
Phone (502) 426-6715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00672900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Byers-Abston Chiropractic, PSC Chiropractor Past Accepting new patients
Kentuckiana Center for Education, Health and Research, Inc Chiropractor PastSince Feb 20, 2013 Accepting new patients

Organizations & group practices 3

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1801024591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 NEW LA GRANGE RD",
            "address_2": "STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224813",
            "telephone_number": "502-426-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LYNDON LN",
            "address_2": "STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225550",
            "telephone_number": "502-426-6715",
            "fax_number": "502-426-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPERUS",
        "first_name": "RACHAEL",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00672900",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.