Active NPI
Michelle Renee Palmer, D.C.
- Chiropractor
- Sedalia, MO
National Provider Identifier
1558329409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1354
- Practice address
- 910 Thompson Blvd
Sedalia, MO 65301-2241 - Phone
- (660) 829-2600
- Fax
- (660) 829-2607
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1354 | NE | Primary |
| Chiropractor | 111N00000X | 2008022535 | MO |
Addresses
Primary practice location
910 Thompson Blvd
Sedalia, MO 65301-2241
Mailing address
1217 Holland SQ
Warrensburg, MO 64093-7861
Phone (402) 312-1999
Other names 1
- Dr. Michelle Renee Wickes
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 |
|---|---|---|---|
| 2008022535 | MO | MD | Chiropractor |
| 1354 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Adjusted Chiropractic PC | Chiropractor | Past | 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.
-
- Chiropractor
- Omaha, NE
- NPI 1194971440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1558329409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 HOLLAND SQ",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640937861",
"telephone_number": "402-312-1999",
"fax_number": "660-829-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 THOMPSON BLVD",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012241",
"telephone_number": "660-829-2600",
"fax_number": "660-829-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1354",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2008022535",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "WICKES",
"middle_name": "RENEE",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sedalia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.