Individual provider Active NPI

Rebecca Lee Pearson, D.C.

  • Chiropractor
  • Branson, MO
National Provider Identifier
1962585885
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2003012564 Issued in MO
Practice address
2404 Highway 248 Ste 3
Branson, MO 65616-9627
Phone
(417) 337-7100
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
180 Health Lifestyle Wellness Centers 6 clinicians

Practice addresses (Care Compare)

500 E Battlefield St
Springfield, MO 65807-4804
Phone (417) 887-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000013 MO Practitioner - Chiropractic 4880667898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1444ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
180 Health Lifestyle Wellness Centers Chiropractor CurrentSince Mar 4, 2024 Accepting new patients
Traylor Chiropractic Clinics Chiropractor Past Accepting new patients
Healing Arts Center L.L.C. Chiropractor PastSince Jun 10, 2005 Accepting new patients
180 Health Lifestyle Wellness Centers Past Accepting new patients
Pearson Chiropractic Clinic PA Chiropractor Past Accepting new patients

Locations

500 E Battlefield St
Springfield, MO 65807
Phone (417) 887-0340

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2003012564 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

2404 Highway 248 Ste 3
Branson, MO 65616-9627

Mailing address

3000 Green Mountain Dr Ste 107-355
Branson, MO 65616-4011
Phone (417) 337-7100

Other practice location 1

3265 Falls Pkwy Ste H
Branson, MO 65616-3473
Phone (417) 337-7100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2019.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1962585885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GREEN MOUNTAIN DR STE 107-355",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164011",
            "telephone_number": "417-337-7100",
            "fax_number": "417-708-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 HIGHWAY 248 STE 3",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656169627",
            "telephone_number": "417-337-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3265 Falls Pkwy Ste H",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656163473",
            "country_code": "US",
            "telephone_number": "417-337-7100",
            "fax_number": "417-708-6415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2003012564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.