Active NPI
Beverly Peters, DC
- Chiropractor
- Cape Girardeau, MO
National Provider Identifier
1982774840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006695
- Practice address
- 384 Lakota LN
Cape Girardeau, MO 63701-2739 - Phone
- (573) 208-0063
- NPI assigned
- Nov 8, 2006
- Last updated
- Mar 31, 2023
- 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 | 006695 | MO | Primary |
Addresses
Primary practice location
384 Lakota LN
Cape Girardeau, MO 63701-2739
Mailing address
384 Lakota LN
Cape Girardeau, MO 63701-2739
Phone (573) 208-0063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3874 E Jackson Blvd
Jackson, MO 63755-3710
Phone (573) 243-8983
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006695 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Chiropractic Center LLC | Chiropractor | Current | Accepting new patients |
| Andrews Chiropractic & Acupuncture Center of Semo,LLC | Current | Accepting new patients | |
| Marble Hill Medical Clinic, LLC | Past | Accepting new patients | |
| Marble Hill Medical Clinic, LLC | Past | Accepting new patients |
Locations
3874 E Jackson Blvd
Jackson, MO 63755
Phone (573) 243-8983
Organizations & group practices 4
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.
-
- Chiropractor
- Jackson, MO
- NPI 1144763756
-
- Clinic/Center
- Jackson, MO
- NPI 1992953327
-
- Clinic/Center
- Marble Hill, MO
- NPI 1588184774
-
- Rural Health Clinic/Center
- Marble Hill, MO
- NPI 1831515907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1982774840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 LAKOTA LN",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012739",
"telephone_number": "573-208-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 LAKOTA LN",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012739",
"telephone_number": "573-208-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "BEVERLY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.