Anik Julie St-Martin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00033965 Issued in WA

Practice address

1424 16TH Ave
Longview, WA 98632-2901

Phone

(360) 425-6620

Fax

(360) 425-1277

NPI assigned

Jun 22, 2006

Last updated

Jun 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Chiropratic and Massage PSGroup PAC ID 6507756384, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Chiropratic & Massage, P.S.

  • Chiropractor
  • Longview, WA
  • NPI 1750497236
  Medicare reassignment Care Compare group NPD
• Battle Ground Advantage Chiropractic PS

  dba Advantage Chiropractic

  • Chiropractor
  • Battle Ground, WA
  • NPI 1104507425
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1326084609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 16TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322901",
            "telephone_number": "360-425-6620",
            "fax_number": "360-425-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 16TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322901",
            "telephone_number": "360-425-6620",
            "fax_number": "360-425-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST-MARTIN",
        "first_name": "ANIK",
        "middle_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marissa Stacey

• Chiropractor in Longview, WA
• Providers in Longview, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.

Verify at the official NPI Registry.