Individual provider Active NPI

Kathryn Elise Coysh, D.C.

  • Chiropractor
  • Emeryville, CA
National Provider Identifier
1831625698
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33870 Issued in CA
Practice address
5875 Doyle St Ste 118
Emeryville, CA 94608-2509
Phone
(925) 899-3310
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33870 CA Primary

Addresses

Primary practice location

5875 Doyle St Ste 118
Emeryville, CA 94608-2509

Mailing address

412 60TH St
Oakland, CA 94609-1302
Phone (925) 899-3310

Other practice location 1

3862 Piedmont Ave
Oakland, CA 94611
Phone (925) 899-3310

Other names 1

  • Kathryn Elise Crowley Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1831625698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 60TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091302",
            "telephone_number": "925-899-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 DOYLE ST STE 118",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082509",
            "telephone_number": "925-899-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3862 Piedmont Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94611",
            "country_code": "US",
            "telephone_number": "925-899-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYSH",
        "first_name": "KATHRYN",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CROWLEY",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.