KAITLYN ASHLEE ANDRESEN
NPI 1114741006
Chiropractor in Davenport, IA

Active since November 08, 2024
5001 TREMONT AVE STE 200, DAVENPORT, IA 52807(563) 306-0801 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaitlyn Ashlee Andresen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN ASHLEE ANDRESEN (NPI 1114741006) is an individual chiropractor in Davenport, Iowa, licensed in Iowa (129296) and active in the NPI registry since November 2024. She is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1114741006
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKAITLYN ASHLEE ANDRESEN
Location Address5001 TREMONT AVE STE 200Davenport, IA 52807-1006
Mailing Address2845 Cedar StDavenport, IA 52804-1511
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
NPI 1114741006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IA · 129296
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5001 TREMONT AVE STE 200, Davenport, IA 52807

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaitlyn Ashlee Andresen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274069828
PECOS Enrollment IDI20260318004038

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
5001 TREMONT AVE STE 200
DAVENPORT, IA 52807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Andresen's NPI number?

The NPI number for Kaitlyn Andresen is 1114741006. It was assigned to this individual provider in the NPPES registry on November 8, 2024.

Where is Kaitlyn Andresen located?

Kaitlyn Andresen practices at 5001 Tremont Ave Ste 200, Davenport, IA 52807. The listed phone number is (563) 306-0801.

What is Kaitlyn Andresen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kaitlyn Andresen enrolled in Medicare?

Yes. Kaitlyn Andresen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Andresen was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.