Active NPI
Kathryn Nicole Nienhaus, D.C.
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1053856146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2016043369
- Practice address
- 1561 N Warson Rd
Saint Louis, MO 63132-1107 - Phone
- (636) 448-3244
- NPI assigned
- Dec 27, 2016
- 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 | 2016043369 | MO | Primary |
Addresses
Primary practice location
1561 N Warson Rd
Saint Louis, MO 63132-1107
Mailing address
7202 Stanley Ave
Maplewood, MO 63143-1321
Phone (636) 448-3244
Other names 1
- Dr. Nikki Nienhaus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016043369 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1053856146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7202 STANLEY AVE",
"city": "MAPLEWOOD",
"state": "MO",
"postal_code": "631431321",
"telephone_number": "636-448-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 N WARSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631321107",
"telephone_number": "636-448-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIENHAUS",
"first_name": "KATHRYN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-27",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2016043369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIKKI",
"last_name": "NIENHAUS",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.