Kelsee Wade, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14664 Issued in TX

Practice address

2114 State Highway 155
Palestine, TX 75803-8606

Phone

(903) 729-3772

Fax

(903) 723-0920

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By the provider in NPPES

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Chiropractor on Hwy 155, Inc

  dba R. Coleman Gray, D.C.

  • Chiropractor
  • Palestine, TX
  • NPI 1982734851
  Medicare reassignment NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1427887488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758020950",
            "telephone_number": "903-729-3772",
            "fax_number": "903-723-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 STATE HIGHWAY 155",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038606",
            "telephone_number": "903-729-3772",
            "fax_number": "903-723-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "KELSEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Velazquez
• Michael Venable, PHARMD, RPH
• Dianna Vernon, LMT, NMT
• Travis Lee Wacha, FNP-BC, PMHNP-BC
• Gary M Waddell, M.D.
• Richard Wagner, M.D.
• Wendy R Wagner, OTR
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0345)
• Wal-Mart Stores Texas, LP (Vision Center 30-0345)
• Walgreen Co (Walgreens #21478)

• Chiropractor in Palestine, TX
• Providers in Palestine, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.