Lotta R Timberlake, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CE5196 Issued in MO

Practice address

1511 Chapel Hill Rd
Columbia, MO 65203-5452

Phone

(573) 446-2242

Fax

(573) 446-5575

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1770613309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 CHAPEL HILL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035452",
            "telephone_number": "573-446-2242",
            "fax_number": "573-446-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CHAPEL HILL RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035452",
            "telephone_number": "573-446-2242",
            "fax_number": "573-446-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBERLAKE",
        "first_name": "LOTTA",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "CE5196",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "CE5196",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE5196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiger Pediatrics LLC
• Tiger Place, LLC
• Emily Marie Tighe
• Tim Soncasie Internal Medicine at Boone Clinic, LLC
• Timberlake Chiropractic, P.C.
• Kathy Lynn Timms, PH.D., HCLD
• Timothy D McGarity MD PC
• Graham Michael Tinker, D.D.S.
• Stephanney Tipsord, LMSW
• Michael G Tipton, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.