Kendra Shana' Stewart

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

227.016877 Issued in IL

Practice address

214 S Linden St
Normal, IL 61761-3077

Phone

(309) 454-8622

NPI assigned

Jul 1, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stout Chiropractic Clinic, PC

  • Medical Specialty Clinic/Center
  • Normal, IL
  • NPI 1831475532

  Sports Physician

  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1013323849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S LINDEN ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613077",
            "telephone_number": "309-454-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S LINDEN ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613077",
            "telephone_number": "309-454-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KENDRA",
        "middle_name": "SHANA'",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "227.016877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret K Starr, LPN
• Michelle Steele
• Dean W Stephan, RPH
• Cody Stephans
• Lisa M Steve, M.S., LPC
• Tia Nicole Stewart, OTR/L
• Jane Elizabeth Stilwell-Roach, LCSW
• Julie M Stoll, LCSW
• Haylie Stone, DPT
• Stout Chiropractic Clinic, PC

• Sports Physician Chiropractor in Normal, IL
• Providers in Normal, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.