Kate E Petersen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4122 Issued in SC

Practice address

5122 N Rhett Ave
North Charleston, SC 29405

Phone

(843) 744-2265

Fax

(843) 747-4421

NPI assigned

Sep 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2010

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 and National Provider Directory roles.

• Petersen Chiropractic

  • Medical Specialty Clinic/Center
  • North Charleston, SC
  • NPI 1841808524
  Medicare reassignment NPD Authorized official
• Blue Ridge Health and Spine, PLLC

  • Chiropractor
  • Shallotte, NC
  • NPI 1497204101
  Medicare reassignment NPD
• Family First Chiropractic Inc

  • Chiropractor
  • Shallotte, NC
  • NPI 1013001015
  NPD
• Park Circle Chiropractic Center LLC

  • Chiropractor
  • North Charleston, SC
  • NPI 1770599524
  NPD (past)
• Haanen Zilisch Smith Chiropractic Clinic LLC

  • Chiropractor
  • Kaukauna, WI
  • NPI 1003032178
  NPD (past)
• Neenah Chiropractic & Rehab Inc

  • Chiropractor
  • Neenah, WI
  • NPI 1073702007
  NPD (past)

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

{
    "created_epoch": "1284768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1942518402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 N RHETT AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054240",
            "telephone_number": "843-744-2265",
            "fax_number": "843-747-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 N RHETT AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-744-2265",
            "fax_number": "843-747-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Singleton Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269136",
            "country_code": "US",
            "telephone_number": "843-347-3444",
            "fax_number": "843-347-1824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KATE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-18",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4654-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4654-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Persha, PHARMD
• Personal Healing and Mentoring
• Samantha Christine Peters, PA-C
• Whitney Peters
• Petersen Chiropractic
• Angela Kelly Peterson, PA-C
• Megan R Peterson
• Taylor Pflug
• Kaitlin Phillips
• Tracey Phillips, PHD, LMSW

• Chiropractor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Chiropractor in South Carolina

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

Verify at the official NPI Registry.