Kelsey Pettitt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

086249 Issued in IA

Practice address

60 SE Laurel St
Waukee, IA 50263-8299

Phone

(515) 325-4325

NPI assigned

May 31, 2017

Last updated

Jul 21, 2022By 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

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Key Potential Chiropractic LLCGroup PAC ID 6002185915, 4 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Key Potential Chiropractic LLC

  • Chiropractor
  • Waukee, IA
  • NPI 1205364585
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851829139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SE LAUREL ST",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638299",
            "telephone_number": "515-325-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SE LAUREL ST",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638299",
            "telephone_number": "515-325-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTITT",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "086249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Pawol, PT, DPT, OCS
• Kendra Lynn Paye
• Michelle M Pearson, OT
• Diana Pelzer, DDS
• Inga Elisabeth Peterson
• Andrew John Theodore Pierce, DC
• Jana Lynn Poock, DPM
• Positive Divineproviders LLC (Divine Transportation)
• Prairie Endodontics PLC
• Noelle Preciado, BCBA

• Chiropractor in Waukee, IA
• Providers in Waukee, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.