Active NPI
Breanne Kristy Chevrette
- Chiropractor
- Demotte, IN
National Provider Identifier
1922640994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003123A
- Practice address
- 5844 W State Road 10
Demotte, IN 46310-9498 - Phone
- (219) 987-7746
- NPI assigned
- Oct 11, 2019
- Last updated
- Oct 11, 2019
- 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 | 08003123A | IN | Primary |
Addresses
Primary practice location
5844 W State Road 10
Demotte, IN 46310-9498
Mailing address
5844 W State Road 10
Demotte, IN 46310-9498
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Demotte | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 Lakeview Dr
Noblesville, IN 46060-1210
Phone (317) 776-1061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dyer Chiropractic Clinic P C | Past | Accepting new patients |
Organizations & group practices 2
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 Midwest Sport and Spine Center
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Noblesville, IN
- NPI 1285797746
-
- Rehabilitation Chiropractor
- Greenwood, IN
- NPI 1881870814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1922640994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5844 W STATE ROAD 10",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463109498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5844 W STATE ROAD 10",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463109498",
"telephone_number": "219-987-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEVRETTE",
"first_name": "BREANNE",
"middle_name": "KRISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003123A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Demotte",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "5844 W State Road 10",
"city": "Demotte",
"state": "IN",
"country_code": "US",
"postal_code": "463109498",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Demotte, IN
- Calvary Assembly of God (Connection Medical Clinic)
- Care-Full Counseling LLC
- Lewis Glenn Carver, COTA
- Cassie Cox, M.S., CCC-SLP LLC
- Center for Life Change
- Frances Clark, APRN MSN FNP CS
- Clinical Management Services, Inc.
- Natalie Haines Cohen, LMHC
- Jacob Steven Conrad, PHARMD
- Alicia Coppage, MSN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.