Individual provider Active NPI

Katherine Lynn Briley, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1851650386
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1715 Issued in NE
Practice address
4237 S 147TH PLZ Apt 302
Omaha, NE 68137-5537
Phone
(402) 708-6112
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1715 NE Primary

Addresses

Primary practice location

4237 S 147TH PLZ Apt 302
Omaha, NE 68137-5537

Mailing address

4237 S 147TH PLZ Apt 302
Omaha, NE 68137-5537
Phone (402) 708-6112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000024 NE Practitioner - Chiropractic 7214191949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Chiropractic LLCGroup PAC ID 8729046958, 4 clinicians

Practice addresses (Care Compare)

13206 Cottner St
Omaha, NE 68137-1777
Phone (402) 896-2496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Chiropractic, LLC Chiropractor CurrentSince May 1, 2012 Accepting new patients

Locations

13206 Cottner St
Omaha, NE 68137
Phone (402) 896-2496

Organizations & group practices 1

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1851650386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 S 147TH PLZ APT 302",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375537",
            "telephone_number": "402-708-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 S 147TH PLZ APT 302",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375537",
            "telephone_number": "402-708-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILEY",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.