Active NPI
Kaili Ann Richey, D.C.
- Chiropractor
- Madison, WI
National Provider Identifier
1841381936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4256-012
- Practice address
- 648 S Gammon Rd
Madison, WI 53719-1370 - Phone
- (608) 441-3455
- Fax
- (608) 441-3456
- NPI assigned
- Sep 27, 2006
- Last updated
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4256-012 | WI | Primary |
Addresses
Primary practice location
648 S Gammon Rd
Madison, WI 53719-1370
Mailing address
648 S Gammon Rd
Madison, WI 53719-1370
Phone (608) 441-3455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38977700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
648 S Gammon Rd
Madison, WI 53719-1370
Phone (608) 441-3455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4256-012 | WI | MD | Chiropractor |
| 4256 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arc of Life Medical Center LLC | Chiropractor | Current | Accepting new patients |
| All About Chiropractic Life Principles LLC | Chiropractor | Past | Accepting new patients |
| Patrick C. Andersen, D.C., S.C. | Chiropractor | Past | Accepting new patients |
Locations
648 S Gammon Rd
Madison, WI 53719
Phone (608) 441-3455
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Arc of Life Medical Center
- Anesthesiology Physician
- Madison, WI
- NPI 1073711503
Chiropractor
-
- Chiropractor
- Madison, WI
- NPI 1497001325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1841381936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "648 S GAMMON RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537191370",
"telephone_number": "608-441-3455",
"fax_number": "608-441-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 S GAMMON RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537191370",
"telephone_number": "608-441-3455",
"fax_number": "608-441-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHEY",
"first_name": "KAILI",
"middle_name": "ANN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4256-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38977700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.