Individual provider Active NPI

Elaina Grace Kamienski, DC

  • Chiropractor
  • Goodlettsville, TN
National Provider Identifier
1871271692
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3726 Issued in TN
Practice address
324 Long Hollow Pike Ste 205
Goodlettsville, TN 37072-1853
Phone
(636) 614-6493
NPI assigned
Jul 11, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3726 TN Primary

Addresses

Primary practice location

324 Long Hollow Pike Ste 205
Goodlettsville, TN 37072-1853

Mailing address

211 Stockyard St Apt 468
Nashville, TN 37201-1154
Phone (636) 614-6493

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217003117 TN Practitioner - Chiropractic 9133656002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jay Schroder, DC, LLCGroup PAC ID 0143262808, 4 clinicians

Practice addresses (Care Compare)

284 Seaboard LN
Suite 100
Franklin, TN 37067-8287
Phone (615) 791-9917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3726TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Schroder, DC, LLC Chiropractor CurrentSince Oct 2, 2024 Accepting new patients

Locations

284 Seaboard Ln
Ste 100
Franklin, TN 37067
Phone (615) 567-6683

Organizations & group practices 2

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1871271692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 STOCKYARD ST APT 468",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011154",
            "telephone_number": "636-614-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LONG HOLLOW PIKE STE 205",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721853",
            "telephone_number": "636-614-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIENSKI",
        "first_name": "ELAINA",
        "middle_name": "GRACE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.