Individual provider Active NPI

Michelle Louise Hartrich, DC

  • Chiropractor
  • O'Fallon, IL
National Provider Identifier
1376593400
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010608 Issued in IL
Practice address
4925 Stone Falls Ctr
Suite B
O Fallon, IL 62269-7800
Phone
(618) 632-9355
NPI assigned
May 11, 2006
Last updated
Sep 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010608 IL Primary

Addresses

Primary practice location

4925 Stone Falls Ctr
Suite B
O Fallon, IL 62269-7800

Mailing address

4925 Stone Falls Ctr
Suite B
O Fallon, IL 62269-7800
Phone (618) 632-9355

Other names 1

  • Dr. Michelle Louise Easter Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Falls Chiropractic and Acupuncture Center LLC Chiropractor PastSince Jun 19, 2011 Accepting new patients
Wellnessone of Swansea, LLC Chiropractor Past Accepting new patients
Vitalize Chiropractic: a Creating Wellness Center LLC Chiropractor PastSince Nov 19, 2007 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1376593400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 STONE FALLS CTR",
            "address_2": "SUITE B",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697800",
            "telephone_number": "618-632-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 STONE FALLS CTR",
            "address_2": "SUITE B",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697800",
            "telephone_number": "618-632-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTRICH",
        "first_name": "MICHELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "EASTER",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O'Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.