Individual provider Active NPI

Jeanne Kay Camden, D.C.

  • Chiropractor
  • Memphis, MO
National Provider Identifier
1952496002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005001581 Issued in MO
Practice address
321 North Clay
Hwy 15 North
Memphis, MO 63555
Phone
(660) 216-9290
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2005001581 MO Primary
Chiropractor 111N00000X 06773 IA

Addresses

Primary practice location

321 North Clay
Hwy 15 North
Memphis, MO 63555

Mailing address

RR 1 Box 164
Glenwood, MO 63541-9749
Phone (660) 457-3283

Other identifiers 1

IdentifierTypeStateIssuer
38606OtherIAWELLMARK BCBS

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

State licenses

LicenseStateTypeSpecialty
06773IAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952496002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 164",
            "city": "GLENWOOD",
            "state": "MO",
            "postal_code": "635419749",
            "telephone_number": "660-457-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORTH CLAY",
            "address_2": "HWY 15 NORTH",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "63555",
            "telephone_number": "660-216-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMDEN",
        "first_name": "JEANNE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005001581",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "38606",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.