Individual provider Active NPI

Katherine Jane Welch Peeples, DC

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1174094882
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12636 Issued in FL
Practice address
3137 S Florida Ave
Lakeland, FL 33803-4563
Phone
(863) 937-4879
Fax
(863) 588-0195
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12636 FL Primary

Addresses

Primary practice location

3137 S Florida Ave
Lakeland, FL 33803-4563

Mailing address

4837 Celia Cir E
Lakeland, FL 33813-2405
Phone (863) 529-5996

Other practice location 1

2529 W Busch Blvd Ste 100
Tampa, FL 33618-4546
Phone (813) 579-4047

Other names 1

  • Dr. Katherine Jane Welch 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12636FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Drutman D.C., LLC Chiropractor PastSince Mar 15, 2020 Accepting new patients

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": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1174094882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 CELIA CIR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132405",
            "telephone_number": "863-529-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034563",
            "telephone_number": "863-937-4879",
            "fax_number": "863-588-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2529 W Busch Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336184546",
            "country_code": "US",
            "telephone_number": "813-579-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEPLES",
        "first_name": "KATHERINE",
        "middle_name": "JANE WELCH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WELCH",
            "middle_name": "JANE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.