NPIMap

Individual provider Active NPI

Kathleen Marie Moncreiff, D.C.

  • Chiropractor
  • Sandy Springs, GA
National Provider Identifier
1912338401
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005451 Issued in GA
Practice address
275 Carpenter Drive
Suite 209
Sandy Springs, GA 30328
Phone
(404) 255-4410
Fax
(404) 781-4410
NPI assigned
Dec 9, 2013
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005451 GA Primary

Addresses

Primary practice location

275 Carpenter Drive
Suite 209
Sandy Springs, GA 30328

Mailing address

275 Carpenter Drive
Suite 209
Sandy Springs, GA 30328
Phone (404) 255-4410

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

State licenses

LicenseStateTypeSpecialty
005451GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Empowerment Institute Chiropractor PastSince Dec 15, 2012 Accepting new patients

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": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1912338401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CARPENTER DRIVE",
            "address_2": "SUITE 209",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-255-4410",
            "fax_number": "404-781-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CARPENTER DRIVE",
            "address_2": "SUITE 209",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-255-4410",
            "fax_number": "404-781-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCREIFF",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.