Active NPI
Kristy Michelle Morgan, D.C
- Chiropractor
- Avondale, AZ
National Provider Identifier
1912972696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8050
- Practice address
- 12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505 - Phone
- (623) 935-9920
- Fax
- (623) 935-9925
- NPI assigned
- Feb 17, 2006
- Last updated
- Aug 3, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009240 | PA | |
| Chiropractor | 111N00000X | 8050 | AZ | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 4707 | AZ |
Addresses
Primary practice location
12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505
Mailing address
PO Box 2954
Phoenix, AZ 85062-2954
Phone (602) 889-5833
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009527700001 | Medicaid | PA | |
| 0082072S1K | Other | PA | PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
483 W Seed Farm Rd
Sacaton, AZ 85147-5000
PO Box
Sacaton, AZ 85147
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4707 | AZ | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gila River Regional Behavioral Health Authority | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| KM Healthcare LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 10
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.
-
dba Komatke Health Center
- Critical Access Hospital
- Laveen, AZ
- NPI 1376538231
TX
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tempe, AZ
- NPI 1619547031
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1356699052
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Avondale, AZ
- NPI 1871128231
-
- Surgery Physician
- Glendale, AZ
- NPI 1033749023
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tempe, AZ
- NPI 1780214270
-
- Pain Clinic/Center
- Indianapolis, IN
- NPI 1114482122
-
dba Thwajik Ke Outpatient Behavioral Health Services
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Case Management Agency
- Sacaton, AZ
- NPI 1306971346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1912972696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2954",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850622954",
"telephone_number": "602-889-5833",
"fax_number": "602-889-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12409 W INDIAN SCHOOL RD STE B210",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853929505",
"telephone_number": "623-935-9920",
"fax_number": "623-935-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "KRISTY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009240",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8050",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AZ",
"license": "4707",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009527700001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "0082072S1K",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.