Active NPI
Kathy Phillips, D.C.
- Chiropractor
- Rio Rancho, NM
National Provider Identifier
1881728673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1532
- Practice address
- 2105 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-1628 - Phone
- (505) 220-3031
- Fax
- (505) 896-3242
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1532 | NM | Primary |
Addresses
Primary practice location
2105 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-1628
Mailing address
2105 Golf Course Rd SE Ste C
Rio Rancho, NM 87124-1628
Phone (505) 220-3031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM01KJ52 | Other | NM | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2105 Golf Course Serd C
Rio Rancho, NM 87124-1628
Phone (505) 896-3136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1532 | NM | MD | Counselor |
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 and National Provider Directory roles.
-
- Chiropractor
- Rio Rancho, NM
- NPI 1336307164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1881728673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 GOLF COURSE RD SE STE C",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241628",
"telephone_number": "505-220-3031",
"fax_number": "505-896-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 GOLF COURSE RD SE STE C",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241628",
"telephone_number": "505-220-3031",
"fax_number": "505-896-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "KATHY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "NM01KJ52",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.