Individual provider Active NPI

Kaitlyn E Shultz, D.C.

  • Chiropractor
  • Johnstown, PA
National Provider Identifier
1912433236
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011249 Issued in PA
Practice address
701 Belmont St
Johnstown, PA 15904-2145
Phone
(814) 479-0206
NPI assigned
May 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011249 PA Primary

Addresses

Primary practice location

701 Belmont St
Johnstown, PA 15904-2145

Mailing address

701 Belmont St
Johnstown, PA 15904-2145
Phone (814) 479-0206

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170615000671 PA Practitioner - Chiropractic 5799053765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011249PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McKolosky Chiropractic, P.C. Chiropractor CurrentSince Jul 19, 2021 Accepting new patients
Guiding Point, PLLC Chiropractor CurrentSince Jan 19, 2025 Accepting new patients
Dr. R.J. Scanlan Chiropractic Clinic, P,C. Chiropractor CurrentSince May 15, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1000 N Center St
Ebensburg, PA 15931
Phone (814) 419-8445

701 Belmont St
Johnstown, PA 15904
Phone (814) 479-0206

401 Theatre Dr
Johnstown, PA 15904
Phone (814) 269-3116

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.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1912433236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BELMONT ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042145",
            "telephone_number": "814-479-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BELMONT ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042145",
            "telephone_number": "814-479-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "KAITLYN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.