Individual provider Active NPI

Katie Jeannine Burmeister, D.C.

  • Chiropractor
  • Salem, IL
National Provider Identifier
1871585844
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009763 Issued in IL
Practice address
120 S Delmar Ave Ste B
Salem, IL 62881-2000
Phone
(618) 401-7117
Fax
(618) 662-4830
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 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 038009763 IL Primary

Addresses

Primary practice location

120 S Delmar Ave Ste B
Salem, IL 62881-2000

Mailing address

PO Box 86
Salem, IL 62881-0086
Phone (618) 740-1711

Other identifiers 1

IdentifierTypeStateIssuer
038009763MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Chiropractic LLC Chiropractor CurrentSince Apr 14, 2023 Accepting new patients
Back to Action Chiropractic LLC Chiropractor PastSince Jan 22, 2016 Accepting new patients
Vincent Chiropractic, S.C. Chiropractor PastSince Jan 15, 2023 Accepting new patients
Katie J Burmeister PastSince Aug 21, 2006 Accepting new patients

Locations

120 S Delmar Ave
Ste B
Salem, IL 62881
Phone (618) 401-7117

Organizations & group practices 4

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1871585844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628810086",
            "telephone_number": "618-740-1711",
            "fax_number": "618-662-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S DELMAR AVE STE B",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628812000",
            "telephone_number": "618-401-7117",
            "fax_number": "618-662-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURMEISTER",
        "first_name": "KATIE",
        "middle_name": "JEANNINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009763",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.