Stacey Ann Duckett, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22651 Issued in CA

Practice address

3432 Hillcrest Ave Ste 200
Antioch, CA 94531-6311

Phone

(925) 777-3334

NPI assigned

Oct 26, 2007

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Stacey a Duckett Chiropractic Corporation

  • Chiropractor
  • Antioch, CA
  • NPI 1013155423
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1093994048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 HILLCREST AVE STE 200",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316311",
            "telephone_number": "925-777-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 HILLCREST AVE STE 200",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316311",
            "telephone_number": "925-777-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "STACEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Drake
• Linda Charlene Draper, RN, NP
• Warren Dressor
• DRS Abdelaziz Sami & Mahdi DDS PC (Antioch Kids Dental Studio Dental Group of Abdelaziz Sami and Mahdi)
• Arlyn Nancy Dubuk, DDS
• Katherine E Duffy-Sherr
• Gail Dugger
• Madison Dumas
• Acee Dunbar
• Lisa Rene Duncan, BUSINESS OWNER

• Chiropractor in Antioch, CA
• Providers in Antioch, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.