Individual provider Active NPI

Kelly McMurtrey Thompson, D.C.

  • Chiropractor
  • Edmonton, KY
National Provider Identifier
1871556258
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4993 Issued in KY
Practice address
106 W Stockton St
Edmonton, KY 42129-9403
Phone
(270) 432-5656
Fax
(270) 432-5658
NPI assigned
Apr 7, 2006
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4993 KY Primary

Addresses

Primary practice location

106 W Stockton St
Edmonton, KY 42129-9403

Mailing address

106 W Stockton St
Edmonton, KY 42129-9403
Phone (270) 432-5656

Other names 1

  • Dr. Kelly Nicole McMurtrey Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060728000245 KY Practitioner - Chiropractic 5597794974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 W Stockton St
Edmonton, KY 42129-9403
Phone (270) 432-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4993KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McMurtrey Chiropractic Chiropractor CurrentSince Dec 6, 2010 Accepting new patients
Scatena Chiropractic Inc Chiropractor PastSince Jul 16, 2006 Accepting new patients
Kentucky Osteo Relief Institute Past Accepting new patients

Locations

106 W Stockton St
Edmonton, KY 42129
Phone (270) 432-5656

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1871556258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W STOCKTON ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421299403",
            "telephone_number": "270-432-5656",
            "fax_number": "270-432-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W STOCKTON ST",
            "city": "EDMONTON",
            "state": "KY",
            "postal_code": "421299403",
            "telephone_number": "270-432-5656",
            "fax_number": "270-432-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELLY",
        "middle_name": "MCMURTREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCMURTREY",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmonton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.