Angie Wilson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4896 Issued in KY

Practice address

69 Hustonville St
Liberty, KY 42539-3160

Phone

(606) 787-2800

Fax

(606) 787-2880

NPI assigned

Mar 29, 2006

Last updated

Aug 13, 2008By 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 KY

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chad C. Henderson DC, PSCGroup PAC ID 5496751240, 2 clinicians

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.

• Chad C. Henderson DC, PSC

  • Chiropractor
  • Somerset, KY
  • NPI 1306875554
  Medicare reassignment Care Compare group NPD
• Back and Body Chiropractic Center Inc.

  • Chiropractor
  • Liberty, KY
  • NPI 1568596286
  NPD (past)
• Carrollton Chiropractic PSC

  • Chiropractor
  • Carrollton, KY
  • NPI 1881790921
  NPD (past)
• Meyers Chiropractic Center PSC

  dba lakeway chiropractic center

  • Chiropractor
  • Russell Springs, KY
  • NPI 1679791214
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1568423614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425390340",
            "telephone_number": "606-787-2800",
            "fax_number": "606-787-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 HUSTONVILLE ST",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393160",
            "telephone_number": "606-787-2800",
            "fax_number": "606-787-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANGIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Wesley
• Nikki Wethington
• William Wethington, CADC
• Ellen Grace White, DMD
• Jan-Doreen Williamson, OTR/L
• Brian Wilson
• Jared K Wilson, M.D.
• Lisa Wison
• Makenzie Witt
• Ladeanna Yocum, CSW

• Chiropractor in Liberty, KY
• Providers in Liberty, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.