Rickey Lynn Prewitt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

800 Issued in LA

Practice address

3121 Van Buren St
Suite B
Baker, LA 70714-3452

Phone

(225) 774-5566

Fax

(225) 774-8855

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1986

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.

• Prewitt Chiropractic Clinic a Professional Chiropractic Corporation

  • Chiropractor
  • Baker, LA
  • NPI 1588863567
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1821187105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 VAN BUREN ST",
            "address_2": "SUITE B",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143452",
            "telephone_number": "225-774-5566",
            "fax_number": "225-774-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 VAN BUREN ST",
            "address_2": "SUITE B",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143452",
            "telephone_number": "225-774-5566",
            "fax_number": "225-774-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "RICKEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "800",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1169",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955604",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10984758",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4770113",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miles Potier
• Catherine Ann Pourciau, NP
• Alice Catherine Powell, P. A.
• Premier Wellness Associates, LLC
• Prewitt Chiropractic Clinic a Professional Chiropractic Corporation
• Promise Pride Enterprises Inc
• Promise Pride Enterprises Inc
• Promise Pride Enterprises, Inc.
• Provisions Care and Residential Services, LLC
• Tony Pryer

• Chiropractor in Baker, LA
• Providers in Baker, LA by specialty
• Chiropractor in Louisiana

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