Individual provider Active NPI

Keri Lynne Freshour, D.C.

  • Chiropractor
  • Downingtown, PA
National Provider Identifier
1861402349
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-005872-L Issued in SD
Practice address
379 W Uwchlan Ave
Ste 100
Downingtown, PA 19335-3168
Phone
(610) 873-9610
Fax
(610) 873-9670
NPI assigned
Aug 8, 2006
Last updated
Apr 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-005872-L SD Primary

Addresses

Primary practice location

379 W Uwchlan Ave
Ste 100
Downingtown, PA 19335-3168

Mailing address

100 Shadestone Dr
Pottstown, PA 19465-8572
Phone (610) 469-1834

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000281 PA Practitioner - Chiropractic 5991852212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 E Uwchlan Ave
Suite 102
Exton, PA 19341-1275
Phone (610) 873-9610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-005872-LSDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Keri Freshour DC PC Chiropractor CurrentSince Dec 31, 2008 Accepting new patients

Locations

379 W Uwchlan Ave
Ste 100
Downingtown, PA 19335
Phone (610) 873-9610

120 E Uwchlan Ave
Ste 102
Exton, PA 19341
Phone (610) 873-9610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1861402349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHADESTONE DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194658572",
            "telephone_number": "610-469-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 W UWCHLAN AVE",
            "address_2": "STE 100",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353168",
            "telephone_number": "610-873-9610",
            "fax_number": "610-873-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESHOUR",
        "first_name": "KERI",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "DC-005872-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.