Active NPI
Scottsbluff Family Chiropractic PC
- Chiropractor
- Scottsbluff, NE
National Provider Identifier
1821208810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1309
- Legal business name
- SCOTTSBLUFF FAMILY CHIROPRACTIC PC
- Practice address
- 24 W 17TH St
Scottsbluff, NE 69361-3156 - Phone
- (308) 630-0551
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristin Michelle Beamon, D.C.
- Title
- President
- Phone
- (308) 630-0551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1309 | NE | Primary |
Addresses
Primary practice location
24 W 17TH St
Scottsbluff, NE 69361-3156
Mailing address
24 W 17TH St
Scottsbluff, NE 69361-3156
Phone (308) 630-0551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100249717-00 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
24 W 17th St
Scottsbluff, NE 69361
Phone (308) 630-0551
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Scottsbluff, NE
- NPI 1184682080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318550400000",
"number": "1821208810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 W 17TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693613156",
"telephone_number": "308-630-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 W 17TH ST",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693613156",
"telephone_number": "308-630-0551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTTSBLUFF FAMILY CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2011-10-14",
"status": "A",
"authorized_official_last_name": "BEAMON",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "308-630-0551",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NE",
"license": "1309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100249717-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsbluff, NE
- Mary Schweitzer, APRN-C
- Cameron R Schwindt, HIS
- Scottsbluff Care and Rehabilitation Center, LLC
- Scottsbluff Dentist LLC
- Scottsbluff Emergency Physicians LLC
- Scottsbluff Operations LLC
- Scottsbluff Orthopaedic Associates, P.C.
- Scottsbluff Public Schools
- Scottsbluff Urology Assoc PC
- Scottsbluff Vision Clinic PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.