Active NPI
Jessica Goddard, DC
- Chiropractor
- Elsberry, MO
National Provider Identifier
1881314433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2022035191
- Practice address
- 220 Broadway St Ste a
Elsberry, MO 63343-1325 - Phone
- (573) 898-4050
- NPI assigned
- Sep 1, 2022
- Last updated
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2022035191 | MO | Primary |
Addresses
Primary practice location
220 Broadway St Ste a
Elsberry, MO 63343-1325
Mailing address
101 Lincoln St
Elsberry, MO 63343-1328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1881314433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LINCOLN ST",
"city": "ELSBERRY",
"state": "MO",
"postal_code": "633431328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 BROADWAY ST STE A",
"city": "ELSBERRY",
"state": "MO",
"postal_code": "633431325",
"telephone_number": "573-898-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODDARD",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2022035191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elsberry, MO
- Terissa Kay Curtis, COTA/L
- Dejace Enterprises Inc (Elsberry Pharmacy LTC)
- Dejace Enterprises Inc
- Elsberry Missouri Health Care Center, Inc.
- Goddard Chiropractic LLC (Zephyr Sport and Spine)
- Kristen Herina, APRN, FNP-BC
- Indycare Carelink PC
- Lifenet, Inc. (ARCH Air Medical Services)
- Lincoln County Memorial Hospital (Elsberry Family Health)
- Lincoln County R2 School District (School District R-II Elsberry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.