Individual provider Active NPI

Mariah Louise Kilps, DC

  • Chiropractor
  • Kennewick, WA
National Provider Identifier
1982107637
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60817975 Issued in WA
Practice address
2909 S Quillan St Ste 158
Kennewick, WA 99337-2437
Phone
(541) 604-2829
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60817975 WA Primary

Addresses

Primary practice location

2909 S Quillan St Ste 158
Kennewick, WA 99337-2437

Mailing address

2909 S Quillan St
Ste 158
Kennewick, WA 99337-2437
Phone (509) 579-5992

Other practice location 1

785 Canyon St Apt 206
Richland, WA 99352-8523
Phone (509) 721-1196

Other names 1

  • Mariah Louise Mielke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60817975WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1982107637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 S QUILLAN ST",
            "address_2": "STE 158",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372437",
            "telephone_number": "509-579-5992",
            "fax_number": "509-579-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S QUILLAN ST STE 158",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372437",
            "telephone_number": "541-604-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 Canyon St Apt 206",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993528523",
            "country_code": "US",
            "telephone_number": "509-721-1196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILPS",
        "first_name": "MARIAH",
        "middle_name": "LOUISE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60817975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "MIELKE",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.