Individual provider Active NPI

Kayla Neeper, DC

  • Pediatric Chiropractor
  • Jefferson City, MO
National Provider Identifier
1104602259
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
2023036166 Issued in MO
Practice address
2409 Hyde Park Rd
Jefferson City, MO 65109-4732
Phone
(573) 635-6217
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 2023036166 MO Primary

Addresses

Primary practice location

2409 Hyde Park Rd
Jefferson City, MO 65109-4732

Mailing address

3528 Prescott Dr
Columbia, MO 65201-7374

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2023036166MOMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Pediatrics, LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

2409 Hyde Park Rd
Jefferson City, MO 65109
Phone (573) 635-6217

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1104602259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 PRESCOTT DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 HYDE PARK RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094732",
            "telephone_number": "573-635-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEPER",
        "first_name": "KAYLA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MO",
            "license": "2023036166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.