Individual provider Active NPI

Kathleen Marie Huffman, D.C.

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1942325204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001323 Issued in IN
Practice address
6249 S East St
Suite F
Indianapolis, IN 46227-2091
Phone
(317) 788-1114
Fax
(317) 788-1156
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001323 IN Primary

Addresses

Primary practice location

6249 S East St
Suite F
Indianapolis, IN 46227-2091

Mailing address

6249 S East St
Suite F
Indianapolis, IN 46227-2091
Phone (317) 788-1114

Other identifiers 2

IdentifierTypeStateIssuer
0005488578OtherINAETNA
000000202947OtherINANTHEM BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000474 IN Practitioner - Chiropractic 5294900080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6249 S E St
Suite F
Indianapolis, IN 46227-2089

6249 S E St F
Indianapolis, IN 46227-2089
Phone (317) 788-1114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001323INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Indianapolis Family Chiropractic, LLC Chiropractor CurrentSince Dec 6, 2011 Accepting new patients
Innate Life Chiropractic, LLC Chiropractor PastSince Jul 4, 2015 Accepting new patients

Locations

6249 S East St
Ste F
Indianapolis, IN 46227
Phone (317) 788-1114

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942325204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6249 S EAST ST",
            "address_2": "SUITE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272091",
            "telephone_number": "317-788-1114",
            "fax_number": "317-788-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 S EAST ST",
            "address_2": "SUITE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272091",
            "telephone_number": "317-788-1114",
            "fax_number": "317-788-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005488578",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000202947",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.