Active NPI
Lakendria Hawkins, D.C.
- Chiropractor
- O Fallon, MO
National Provider Identifier
1326410036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2015004019
- Practice address
- 4122 Keaton Crossing Blvd
Ste 105
O Fallon, MO 63368-8219 - Phone
- (636) 224-8130
- NPI assigned
- Oct 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2015004019 | MO | Primary |
Addresses
Primary practice location
4122 Keaton Crossing Blvd
Ste 105
O Fallon, MO 63368-8219
Mailing address
124 Harmony Villa Way
Saint Peters, MO 63376-2890
Phone (337) 315-4264
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015004019 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1326410036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HARMONY VILLA WAY",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762890",
"telephone_number": "337-315-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 KEATON CROSSING BLVD",
"address_2": "STE 105",
"city": "O FALLON",
"state": "MO",
"postal_code": "633688219",
"telephone_number": "636-224-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "LAKENDRIA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2015004019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.