Active NPI
Katie Jeannine Burmeister, D.C.
- Chiropractor
- Salem, IL
National Provider Identifier
1871585844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009763
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038009763 | Medicaid | IL |
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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Back to Action Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Vincent Chiropractic, S.C. | Chiropractor | Past | Accepting new patients |
| Katie J Burmeister | Past | 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.
-
- Clinic/Center
- Flora, IL
- NPI 1184898512
-
- Chiropractor
- Salem, IL
- NPI 1740976422
-
- Chiropractor
- Salem, IL
- NPI 1982069894
-
- Chiropractor
- Mountlake Terrace, WA
- NPI 1851571772
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.