Individual provider Active NPI

Stacy Marie Carter, DC

  • Nutrition Chiropractor
  • Syracuse, NY
National Provider Identifier
1093062267
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
70-012209 Issued in NY
Practice address
109 N Main St
Syracuse, NY 13212-2167
Phone
(315) 414-0866
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 70-012209 NY Primary

Addresses

Primary practice location

109 N Main St
Syracuse, NY 13212-2167

Mailing address

PO Box 2711
Syracuse, NY 13220-2711
Phone (315) 414-0866

Other names 1

  • Dr. Stacy Marie Albert Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@chirocarecny.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161029000228 NY Practitioner - Chiropractic 8527369867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cunningham Chiropractic PCGroup PAC ID 9335167808, 2 clinicians

Practice addresses (Care Compare)

210 Old Bridge St
East Syracuse, NY 13057-2810
Phone (315) 445-9941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70-012209NYMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy Carter Nutrition CurrentSince Nov 13, 2022 Accepting new patients
Cunningham Chiropractic PC CurrentSince May 26, 2023 Accepting new patients

Locations

210 Old Bridge St
East Syracuse, NY 13057
Phone (315) 445-9941

109 N Main St
Syracuse, NY 13212
Phone (315) 414-0866

Interoperability endpoints

  • Direct secure messaging: scarter1928@hiemail.healtheconnections.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1093062267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2711",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202711",
            "telephone_number": "315-414-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N MAIN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132122167",
            "telephone_number": "315-414-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "70-012209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@chirocarecny.com",
            "affiliation": "N",
            "address_1": "109 N Main St",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132122167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "ALBERT",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.