Kathleen McGowan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2059 Issued in ID

Practice address

106 E Park St Ste 101
McCall, ID 83638-5064

Phone

(208) 630-6282

Fax

(208) 630-6281

NPI assigned

Dec 18, 2017

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Big Sky Chiropractic, PLLC

  • Chiropractor
  • McCall, ID
  • NPI 1063148476
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1912413691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2024",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836382024",
            "telephone_number": "208-630-6282",
            "fax_number": "208-630-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E PARK ST STE 101",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836385064",
            "telephone_number": "208-630-6282",
            "fax_number": "208-630-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60806853",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCall-Donnelly School District #421
• Susan McCandless, RLD
• Connie McClaran, R.N.
• Ashley E McCoy, LMFT
• Jacklyn Zastrow McDonald, CCC-SLP
• Katrina M. McKellips, D.O.
• Eric Mikkelsen, LAMFT
• Meghan Eileen Minshall, LPC
• Jennifer Moon, MA
• Thomas L Moore, LCPC

• Chiropractor in McCall, ID
• Providers in McCall, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.

Verify at the official NPI Registry.