Active NPI
Hannah Claire Fredrickson, DC
- Chiropractor
- Saint Peters, MO
National Provider Identifier
1235843376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2022048904
- Practice address
- 1232 Jungermann Rd
Saint Peters, MO 63376-6963 - Phone
- (636) 685-0717
- Fax
- (636) 685-0721
- NPI assigned
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2022048904 | MO | Primary |
Addresses
Primary practice location
1232 Jungermann Rd
Saint Peters, MO 63376-6963
Mailing address
1232 Jungermann Rd
Saint Peters, MO 63376-6963
Phone (636) 685-0717
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stpeters@thewellnessway.com | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022048904 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartstone Missouri LLC | Chiropractor | Current | Accepting new patients |
Locations
1232 Jungermann Rd
Saint Peters, MO 63376
Phone (314) 730-5434
Organizations & group practices 1
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.
-
- Chiropractor
- Saint Peters, MO
- NPI 1932933462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1235843376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 JUNGERMANN RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766963",
"telephone_number": "636-685-0717",
"fax_number": "636-685-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 JUNGERMANN RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766963",
"telephone_number": "636-685-0717",
"fax_number": "636-685-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDRICKSON",
"first_name": "HANNAH",
"middle_name": "CLAIRE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2022048904",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stpeters@thewellnessway.com",
"affiliation": "N",
"endpointDescription": "stpeters@thewellnessway.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "direct",
"address_1": "1232 Jungermann Rd",
"city": "Saint Peters",
"state": "MO",
"country_code": "US",
"postal_code": "633766963",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.