Active NPI
Kelly L Stanfield, D.C.
- Chiropractor
- Effingham, IL
National Provider Identifier
1285670034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 414 W Jefferson Ave
Effingham, IL 62401-2336 - Phone
- (217) 342-7222
- Fax
- (217) 342-7214
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- 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 | IL | Primary |
Addresses
Primary practice location
414 W Jefferson Ave
Effingham, IL 62401-2336
Mailing address
414 W Jefferson Ave
Effingham, IL 62401-2336
Phone (217) 342-7222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 S Mill St
Nashville, IL 62263-1831
Phone (618) 327-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007105 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Nashville Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Wood River Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Vincent Chiropractic, S.C. | Chiropractor | Past | Accepting new patients |
Locations
140 S Mill St
Nashville, IL 62263
Phone (618) 327-2000
120 S Delmar Ave
Ste B
Salem, IL 62881
Phone (618) 401-7117
633 Wesley Dr
Wood River, IL 62095
Phone (618) 254-9355
Organizations & group practices 4
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
- Nashville, IL
- NPI 1891245700
-
- Chiropractor
- Wood River, IL
- NPI 1659819530
-
- Chiropractor
- Salem, IL
- NPI 1740976422
-
- Chiropractor
- Salem, IL
- NPI 1982069894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285670034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 W JEFFERSON AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012336",
"telephone_number": "217-342-7222",
"fax_number": "217-342-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 W JEFFERSON AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012336",
"telephone_number": "217-342-7222",
"fax_number": "217-342-7214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANFIELD",
"first_name": "KELLY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Effingham, IL
- St Anthonys Memorial Hospital of the Hospital Sisters of the Third (HSHS Home Care Illinois)
- St Anthonys Memorial Hospital of the Hospital Sisters of the Third (HSHS Hospice Illinois)
- St. Louis JC Vamc
- Stanfield Chiropractic of Effingham LLC
- Stanfield Group LLC
- Rodney Wayne Stanfield, D.C.
- Stephanie Ann Stanfield, MHP
- Megan J Steffen, APRN
- Ashley Marie Stevens
- Jeffrey R Stevenson, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.