Stacy Carter

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

Legal business name

STACY CARTER

Practice address

109 N Main St
North Syracuse, NY 13212-2167

Phone

(315) 414-0866

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Stacy CarterNPI 1093062267

Title

Owner

Phone

(315) 414-0866

Specialties & licenses 1

Addresses

Other names 1

• ChiroCare of CNY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Marie Carter, DC

  • Nutrition Chiropractor
  • Syracuse, NY
  • NPI 1093062267
  NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1265159529",
    "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": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122167",
            "telephone_number": "315-414-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY CARTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-414-0866"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroCare of CNY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Anne Sotherden, LPN
• Juan L Sotomayor, MD
• Mary Christine Spinella, PHARMD
• Courtney M Sprague, OTR/L
• Halie Squires
• Katherine Stanbridge-Maine, FNP
• Karen A Stanley, DPM
• Michelle B Stanley, RPH
• Anna Meg Steeves, LMSW
• Elizabeth Gormley Stehle, LMSW

• Nutrition Chiropractor in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Nutrition Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.