Kimberly Rochea Story, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

008026 Issued in GA

Practice address

3755 Memorial Dr
Suite a
Decatur, GA 30032-2253

Phone

(404) 534-6606

NPI assigned

Feb 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fuller Life Chiropractic Center PCGroup PAC ID 7113914250, 4 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 and National Provider Directory roles.

• Fuller Life Chiropractic Center PC

  • Chiropractor
  • Manchester, GA
  • NPI 1417129081
  Medicare reassignment Care Compare group NPD
• Decatur Pain & Rehab

  • Chiropractor
  • Decatur, GA
  • NPI 1710004999
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1457520892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322253",
            "telephone_number": "404-534-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322253",
            "telephone_number": "404-534-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "KIMBERLY",
        "middle_name": "ROCHEA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "008026",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "008026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "008026",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Buford Stone, LCSW, ICCDP-D
• Marcus R Stonecipher, MD
• Stop the Bullying Inc
• Steven C Storey, MD
• Misti Storie, LPC, NCC, MAC
• Mary Michaels Stout, MD
• Steven C Stout, MD PHD
• Kelsey Ann Stovall, MSW
• Virginia Johnson Stowell
• Jessica Smith Straus, PA-C

• Chiropractor in Decatur, GA
• Providers in Decatur, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.