Kimberly Ann Jacquin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2003011572 Issued in MO

Practice address

118 Union Plaza Drive
Union, MO 63084

Phone

(636) 583-1380

Fax

(636) 583-1588

NPI assigned

Dec 14, 2006

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

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Franklin County Chiropractic PC

  • Chiropractor
  • Union, MO
  • NPI 1619134608
  Medicare reassignment NPD Authorized official
• Essen Chiropractic and Acupuncture, L L C

  • Chiropractor
  • Des Peres, MO
  • NPI 1578681565
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1710049101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630840148",
            "telephone_number": "636-583-1380",
            "fax_number": "636-583-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 UNION PLAZA DRIVE",
            "city": "UNION",
            "state": "MO",
            "postal_code": "63084",
            "telephone_number": "636-583-1380",
            "fax_number": "636-583-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUIN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003011572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "177965",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00121266",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "117965",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARPENTERS",
            "identifier": "186599",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "186599",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "541250",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "656115",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie M Hoskins, LCSW
• Christina Housewright, APRN
• Monica J Houttuin, LCSW
• In Home Health, LLC
• Joi C Irving, M.D.
• Margaret Mary Janssen, OTR
• Cassandra Marie Johnston, LMSW
• Scotty D Jones, MD
• Ijeoma Grace Juelich, DMD
• Jolene M Kahler, LMSW

• Chiropractor in Union, MO
• Providers in Union, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.