KAITLYN LACKEY DC
NPI 1366965907
Chiropractor in Denison, TX
About Kaitlyn Lackey Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN LACKEY DC (NPI 1366965907) is an individual chiropractor in Denison, Texas, licensed in Texas (13520) and active in the NPI registry since July 2017.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaitlyn Lackey Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kaitlyn Lackey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carrollton, TX 75007
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaitlyn Lackey's NPI number?
The NPI number for Kaitlyn Lackey is 1366965907. It was assigned to this individual provider in the NPPES registry on July 25, 2017.
Where is Kaitlyn Lackey located?
Kaitlyn Lackey practices at 3230 S Eisenhower Pkwy, Denison, TX 75020. The listed phone number is (903) 465-1881.
What is Kaitlyn Lackey's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kaitlyn Lackey enrolled in Medicare?
Yes. Kaitlyn Lackey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kaitlyn Lackey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Lackey reassigns Medicare benefits to Back In Stride LLC (Carrollton, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Lackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kaitlyn Lackey was last updated on July 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kaitlyn Lackey, DC · NPI 1366965907
Chiropractor provider in Denison, Texas. Individual provider, active in the CMS NPPES registry since July 25, 2017.
## Identity
- **NPI:** 1366965907 (Entity type: Individual)
- **Enumerated:** July 25, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 13520 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3230 S EISENHOWER PKWY, Denison, TX 75020-7818
- **Phone:** (903) 465-1881
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Back In Stride LLC (NPI 1083567176, Carrollton, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1366965907) · Data from the CMS NPPES public registry.