Individual provider Active NPI

Stephanie M Zgraggen, D.C.

  • Nutrition Chiropractor
  • Charleston, SC
National Provider Identifier
1467430314
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2965 Issued in SC
Practice address
925 Wappoo Rd
Suite F
Charleston, SC 29407-5969
Phone
(843) 214-2997
NPI assigned
Jan 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 2965 SC Primary
Nutrition Chiropractor 111NN1001X 32542 CA

Addresses

Primary practice location

925 Wappoo Rd
Suite F
Charleston, SC 29407-5969

Mailing address

925 Wappoo Rd
Suite F
Charleston, SC 29407-5969
Phone (843) 214-2997

Other names 1

  • Dr. Stephanie M Latter 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

State licenses

LicenseStateTypeSpecialty
2965SCMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Care Charleston, LLC Nutrition Past Accepting new patients

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": "1136073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1467430314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WAPPOO RD",
            "address_2": "SUITE F",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075969",
            "telephone_number": "843-214-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WAPPOO RD",
            "address_2": "SUITE F",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075969",
            "telephone_number": "843-214-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZGRAGGEN",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-01",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "SC",
            "license": "2965",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "32542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LATTER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.