Active NPI
Kristin Kay Stobaugh, D.C.
- Chiropractor
- Conway, AR
National Provider Identifier
1285737296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16321
- Practice address
- 25 Overlook TRL
Conway, AR 72032-8535 - Phone
- (501) 505-6927
- NPI assigned
- Sep 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16321 | AR | Primary |
Addresses
Primary practice location
25 Overlook TRL
Conway, AR 72032-8535
Mailing address
25 Overlook TRL
Conway, AR 72032-8535
Phone (501) 505-6927
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162862718 | Medicaid | AR | |
| 16321 | Other | AR | CHIROPRACTIC LICENSE |
| 5P021 | Other | AR | BC/BS |
| 1632 | Other | AR | CHIROPRACTIC LICENSE |
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 |
|---|---|---|---|
| 16321 | AR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamey Chiropractic, PA | Chiropractor | Past | Accepting new patients |
| Richard E Moore Medical PA | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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
- Conway, AR
- NPI 1326084781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1285737296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 OVERLOOK TRL",
"city": "CONWAY",
"state": "AR",
"postal_code": "720328535",
"telephone_number": "501-505-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 OVERLOOK TRL",
"city": "CONWAY",
"state": "AR",
"postal_code": "720328535",
"telephone_number": "501-505-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOBAUGH",
"first_name": "KRISTIN",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2024-09-18",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AR",
"license": "16321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162862718",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "16321",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "5P021",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "1632",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.