Individual provider Active NPI

Stephanie Hertless, D.C.

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1366937971
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557491 Issued in VA
Practice address
5757 Plank Rd
Fredericksburg, VA 22407-6227
Phone
(540) 785-5757
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104557491 VA Primary

Addresses

Primary practice location

5757 Plank Rd
Fredericksburg, VA 22407-6227

Mailing address

5757 Plank Rd
Fredericksburg, VA 22407-6227
Phone (540) 785-5757

Other practice location 1

4448 Germanna Hwy Ste 3B
Locust Grove, VA 22508-2012
Phone (540) 972-4800

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

LicenseStateTypeSpecialty
5185NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine & Rehabilitation Center, PC PastSince Aug 10, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10063668

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1366937971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076227",
            "telephone_number": "540-785-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076227",
            "telephone_number": "540-785-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4448 Germanna Hwy Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "VA",
            "postal_code": "225082012",
            "country_code": "US",
            "telephone_number": "540-972-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTLESS",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.