Julianne Christine Thake, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2014038935 Issued in MO

Practice address

2705 Saint Peters Howell Rd
Ste J
Saint Peters, MO 63376-2821

Phone

(636) 248-9561

NPI assigned

Mar 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

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Rise Chiropractic & Nutrition

  • Chiropractor
  • Dublin, OH
  • NPI 1124698105
  Medicare reassignment

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1083039929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PARK PL",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763146",
            "telephone_number": "330-265-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 SAINT PETERS HOWELL RD",
            "address_2": "STE J",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762821",
            "telephone_number": "636-248-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKE",
        "first_name": "JULIANNE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014038935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry a. Surtin, D.C. P.C.
• Terry Diane Miller
• Tanya Terry, RN
• Donna T. Thackrey, M.D.
• Thake Chiropractic and Wellness, LLC
• Brooke Elizabeth Thatcher
• Claire Elizabeth Thayer, OD
• The Audiology Center, LLC
• The Fertility Partnership
• The Nest Holistics

• Chiropractor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.