Active NPI
Rebecca E Chrestman, DOM & LAC
- Acupuncturist
- Springfield, MO
National Provider Identifier
1225115280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 806
- Practice address
- 1200 E Woodhurst Dr
R300
Springfield, MO 65804-4261 - Phone
- (417) 877-1300
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 3, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 806 | NM | Primary |
| Acupuncturist | 171100000X | 2010000775 | MO |
Addresses
Primary practice location
1200 E Woodhurst Dr
R300
Springfield, MO 65804-4261
Mailing address
1200 E Woodhurst Dr
R300
Springfield, MO 65804-4261
Phone (417) 877-1300
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 |
|---|---|---|---|
| 2010000775 | MO | MD | Acupuncturist |
| 806 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1225115280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E WOODHURST DR",
"address_2": "R300",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044261",
"telephone_number": "417-877-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E WOODHURST DR",
"address_2": "R300",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044261",
"telephone_number": "417-877-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRESTMAN",
"first_name": "REBECCA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DOM & LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "806",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MO",
"license": "2010000775",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.