Kaitlyn Rae Cosby, D.C

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

2016013980 Issued in MO

Practice address

5960 Howdershell Rd Ste 204
Hazelwood, MO 63042-4103

Phone

(314) 895-1136

NPI assigned

May 5, 2016

Last updated

Sep 6, 2024By 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

Other names 1

• Kaitlyn Rae Johnson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlyn.cosby.1@14940.direct.athenahealth.com

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.

• MH Health Care Services, PC

  dba Carpenters Pharmacy

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1013479716
  NPD

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1750737060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 HAMPTON AVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63139",
            "telephone_number": "314-955-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 HOWDERSHELL RD STE 204",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630424103",
            "telephone_number": "314-895-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSBY",
        "first_name": "KAITLYN",
        "middle_name": "RAE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MO",
            "license": "2016013980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "JOHNSON",
            "middle_name": "RAE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Reeon Deedra Cook-Stalling
• Roderick Sampson Cooper, D.D.S.
• Matthew Larry Cooseman
• Richard E Copithorne Jr., DMD
• Catrece Cosby, LPN
• Richard A. Covert, M.D., MPH
• Amara Imani Covington, BEHAVIOR ANALYST
• Jeremiah J Cox, M.D.
• Racquel L Crawford
• Creative Concepts for Living Inc

• Independent Medical Examiner Chiropractor in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Independent Medical Examiner Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.