Kellie Jill Timberlake-Lancaster, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC6021 Issued in TX

Practice address

207 Walnut St
Bowie, TX 76230-4840

Phone

(940) 872-6301

Fax

(940) 872-6015

NPI assigned

Oct 7, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paradox Healthcare Systems PLLCGroup PAC ID 6305023714, 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.

• Paradox Healthcare Systems PLLC

  • Chiropractor
  • Bowie, TX
  • NPI 1043514383
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649268392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WALNUT ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762304840",
            "telephone_number": "940-872-6301",
            "fax_number": "940-872-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WALNUT ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762304840",
            "telephone_number": "940-872-6301",
            "fax_number": "940-872-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBERLAKE-LANCASTER",
        "first_name": "KELLIE",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Nicole Story
• Jean A. Sullivan, RDN, LD
• Texas Community Counseling
• Texas Community Counseling
• Thomas W Greene, O.D.,P.C.
• Wendy Dawn Trantham Fitts, OTR
• United Clinics of North Texas, PLLC
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0271)
• Kelli Nichoale Watson
• Kensley Alise Watts, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.