Individual provider Active NPI

Stephanie Hope Webster, D.C.

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1154645620
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1980 Issued in NE
Practice address
5012 3Rd Ave Ste 170
Kearney, NE 68845-8508
Phone
(308) 384-4955
Fax
(308) 384-7088
NPI assigned
Mar 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1980 NE Primary

Addresses

Primary practice location

5012 3Rd Ave Ste 170
Kearney, NE 68845-8508

Mailing address

705 N Webb Rd
Grand Island, NE 68803-3311
Phone (308) 384-4955

Other identifiers 1

IdentifierTypeStateIssuer
10026848500MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.activefamilykearney@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100724000272 KS Practitioner - Chiropractic 3577695618 Reassigns benefits to 1 organization
I20150728005257 NE Practitioner - Chiropractic 3577695618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Family Chiropractic and Acupuncture PCGroup PAC ID 0143317750, 8 clinicians

Practice addresses (Care Compare)

2441 N Diers Ave
Grand Island, NE 68803-1240
Phone (308) 384-4955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1850NEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Subluxation 2 LLC Chiropractor CurrentSince Nov 30, 2020 Accepting new patients
Holmberg Wellness Group, LLC Chiropractor CurrentSince Oct 16, 2023 Accepting new patients
Franklin County Chiropractic PA Chiropractor Past Accepting new patients
Phillipsburg Chiropractic Center, P.a. Chiropractor PastSince May 21, 2003 Accepting new patients

Locations

5846 W 21st St N
Ste 100
Wichita, KS 67205
Phone (316) 942-2483

2441 N Diers Ave
Grand Island, NE 68803
Phone (308) 384-4955

5012 3rd Ave
Ste 170
Kearney, NE 68845
Phone (308) 222-4400

Organizations & group practices 5

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": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1154645620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033311",
            "telephone_number": "308-384-4955",
            "fax_number": "308-384-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 3RD AVE STE 170",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458508",
            "telephone_number": "308-384-4955",
            "fax_number": "308-384-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "STEPHANIE",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2021-07-14",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026848500",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.activefamilykearney@gmail.com",
            "affiliation": "N",
            "address_1": "5012 3rd Ave Ste 170",
            "city": "Kearney",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688458508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.