Individual provider Active NPI

Kathryn Renee Skoglun, DC

  • Chiropractor
  • Cashmere, WA
National Provider Identifier
1881300291
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61479046 Issued in WA
Practice address
222 Olive St
Cashmere, WA 98815-1125
Phone
(509) 860-2365
NPI assigned
Jan 30, 2023
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61479046 WA Primary

Addresses

Primary practice location

222 Olive St
Cashmere, WA 98815-1125

Mailing address

PO Box 3603
Wenatchee, WA 98807-3603
Phone (509) 860-2365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213002797 WA Practitioner - Chiropractic 0244673614 Practice locations: Cashmere, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61479046WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cashmere Spine and Wellness, PLLC Chiropractor CurrentSince May 15, 2024 Accepting new patients

Locations

101 Cottage Ave
Ste F
Cashmere, WA 98815
Phone (509) 715-3140

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1881300291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3603",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988073603",
            "telephone_number": "509-860-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 OLIVE ST",
            "city": "CASHMERE",
            "state": "WA",
            "postal_code": "988151125",
            "telephone_number": "509-860-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOGLUN",
        "first_name": "KATHRYN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61479046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cashmere, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.