Kayla Beth Ellison, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5990 Issued in MN

Practice address

123 Avenue C
Cloquet, MN 55720-1563

Phone

(218) 879-1556

Fax

(218) 879-1568

NPI assigned

Dec 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leno Chiropractic Clinic LTDGroup PAC ID 0648454744, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Leno Chiropractic Clinic LTD

  dba Ellison Family Chiropractic

  • Clinic/Center
  • Cloquet, MN
  • NPI 1306144100

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1013314418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201563",
            "telephone_number": "218-879-1556",
            "fax_number": "218-879-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201563",
            "telephone_number": "218-879-1556",
            "fax_number": "218-879-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "KAYLA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Kathryn Dunlap
• Josephine Aedan Eades, MSE
• Christy Marie Eickhoff, R.N.
• Elevate Wellness Agency LLC
• Stephanie Ann Elling, PT, DPT
• Tiffany Elton, PHARMD, NCPS
• Emily Conley DDS PLLC (Wood City Dental)
• Allison Bernice Enger
• Esko Isd 99
• Kristina Lynn Etheridge

• Chiropractor in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.