Individual provider Active NPI

Alisha Squires

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1447880331
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020000869 Issued in MO
Practice address
2024 Cherry Hill Dr Ste 101
Columbia, MO 65203-5921
Phone
(573) 443-5900
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020000869 MO Primary

Addresses

Primary practice location

2024 Cherry Hill Dr Ste 101
Columbia, MO 65203-5921

Mailing address

36 Lee Dr Apt a
Saint Charles, MO 63301-0586
Phone (636) 373-2086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422000868 MO Practitioner - Chiropractic 5991135550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Chiropractic and Wellness CenterGroup PAC ID 8527252527, 3 clinicians

Practice addresses (Care Compare)

550 E Green Meadows Rd
Suite 101
Columbia, MO 65201-3758
Phone (573) 443-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020000869MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Chiropractic and Wellness Center CurrentSince Mar 18, 2020 Accepting new patients
Reclaim Chiropractic Chiropractor PastSince Jan 14, 2024 Accepting new patients

Locations

2024 Cherry Hill Dr
Ste 101
Columbia, MO 65203
Phone (573) 443-5900

550 E Green Meadows Rd
Ste 101
Columbia, MO 65201
Phone (573) 443-5900

Organizations & group practices 2

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1447880331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LEE DR APT A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633010586",
            "telephone_number": "636-373-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 CHERRY HILL DR STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035921",
            "telephone_number": "573-443-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "ALISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020000869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.