Individual provider Active NPI

Kennedy Claire Fitzgerald, DC

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1851914345
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010938 Issued in MI
Practice address
448 Leonard St NW
Grand Rapids, MI 49504-4250
Phone
(616) 805-4478
Fax
(616) 805-4865
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010938 MI Primary

Addresses

Primary practice location

448 Leonard St NW
Grand Rapids, MI 49504-4250

Mailing address

448 Leonard St NW
Grand Rapids, MI 49504-4250
Phone (616) 805-4478

Other names 1

  • Dr. Kennedy Claire Cullen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220318000307 MI Practitioner - Chiropractic 3971998519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

448 Leonard St NW
Grand Rapids, MI 49504-4250
Phone (616) 805-4478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Van Every Family Chiropractic Center PLLC Chiropractor PastSince May 1, 2020 Accepting new patients
Prosper Family Chiropractic Center PLLC Chiropractor PastSince May 1, 2020 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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1851914345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 LEONARD ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044250",
            "telephone_number": "616-805-4478",
            "fax_number": "616-805-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 LEONARD ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044250",
            "telephone_number": "616-805-4478",
            "fax_number": "616-805-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KENNEDY",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNEDY",
            "last_name": "CULLEN",
            "middle_name": "CLAIRE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.