Individual provider Active NPI

Kelli Dawn Winarski, D.C.

  • Pediatric Chiropractor
  • Columbia, MO
National Provider Identifier
1780998070
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
2009036416 Issued in MO
Practice address
2024 Cherry Hill Dr
Ste 101
Columbia, MO 65203-5921
Phone
(573) 443-5900
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 2009036416 MO Primary

Addresses

Primary practice location

2024 Cherry Hill Dr
Ste 101
Columbia, MO 65203-5921

Mailing address

2024 Cherry Hill Dr
Ste 101
Columbia, MO 65203-5921
Phone (573) 443-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001334 MO Practitioner - Chiropractic 4981898996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Chiropractic and Wellness CenterGroup PAC ID 8527252527, 3 clinicians

Practice addresses (Care Compare)

550 E Green Meadows Rd
Suite 101
Columbia, MO 65201-3758
Phone (573) 443-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009036416MOMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaim Chiropractic CurrentSince Jan 14, 2024 Accepting new patients

Locations

550 E Green Meadows Rd
Ste 101
Columbia, MO 65201
Phone (573) 443-5900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1780998070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 CHERRY HILL DR",
            "address_2": "STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035921",
            "telephone_number": "573-443-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 CHERRY HILL DR",
            "address_2": "STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035921",
            "telephone_number": "573-443-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINARSKI",
        "first_name": "KELLI",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MO",
            "license": "2009036416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.