Individual provider Active NPI

Stephanie Angellette Estes, D.C.

  • Chiropractor
  • Loudon, TN
National Provider Identifier
1033446141
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2383 Issued in TN
Practice address
702 Grove St, Ste 102
Loudon, TN 37774-1481
Phone
(865) 657-9941
Fax
(865) 657-9942
NPI assigned
Nov 10, 2009
Last updated
Jan 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2383 TN Primary

Addresses

Primary practice location

702 Grove St, Ste 102
Loudon, TN 37774-1481

Mailing address

702 Grove St, Ste 102
Loudon, TN 37774-1481
Phone (865) 657-9941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100219000195 TN Practitioner - Chiropractic 0547304289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Estes Family Chiropractic and Wellness ClinicGroup PAC ID 0143417113, 2 clinicians

Practice addresses (Care Compare)

1190 N Kentucky St
Kingston, TN 37763-2350
Phone (865) 376-4684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Estes Family Chiropractic and Wellness Clinic Chiropractor CurrentSince Feb 1, 2010 Accepting new patients
Choice Audiology, LLC Past Accepting new patients

Locations

1190 N Kentucky St
Kingston, TN 37763
Phone (865) 376-4684

702 Grove St
Ste 102
Loudon, TN 37774
Phone (865) 242-4857

806 Mulberry St
Loudon, TN 37774
Phone (865) 229-6230

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1033446141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GROVE ST, STE 102",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741481",
            "telephone_number": "865-657-9941",
            "fax_number": "865-657-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 GROVE ST, STE 102",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377741481",
            "telephone_number": "865-657-9941",
            "fax_number": "865-657-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "STEPHANIE",
        "middle_name": "ANGELLETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.