Sydney Beaupre

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16391 Issued in TX

Practice address

622 W Longley St
Harrisburg, IL 62946-3160

Phone

(618) 518-1307

NPI assigned

Oct 20, 2025

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 KY

Enrollment records 1

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.

• Paducah Chiropractic Center, PSC

  • Chiropractor
  • Paducah, KY
  • NPI 1477985000
  Medicare reassignment Care Compare group NPD

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Paducah Chiropractic Center PSC 3 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1891662581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W LONGLEY ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W LONGLEY ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463160",
            "telephone_number": "618-518-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUPRE",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelia Leigh Ayresbennett
• Tiffany Leeann Baird, REGISTERED NURSE
• Danielle Baker, APN
• Stephan Barnard, PHARMD
• Joseph Baxter, DPT
• Elizabeth Ann Bebout, PAC
• Randall David Bell, DMD
• Ty D Biggs, DC
• Bio-Medical Applications of Illinois, Inc.
• Sarah Bittle, OD

• All providers in Harrisburg, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.