Individual provider Active NPI

Rhonda Ann Hefflinger, DC

  • Chiropractor
  • St Charles, MO
National Provider Identifier
1477618494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE004921 Issued in MO
Practice address
119A N Kingshighway
St Charles, MO 63301-1634
Phone
(636) 724-4884
Fax
(636) 724-4884
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CE004921 MO Primary

Addresses

Primary practice location

119A N Kingshighway
St Charles, MO 63301-1634

Mailing address

119A N Kingshighway
St Charles, MO 63301-1634
Phone (636) 724-4884

Other identifiers 1

IdentifierTypeStateIssuer
8310OtherMOBLUE CROSS BLUE SHIELD

Other names 1

  • Mrs. Rhonda Ann Hudson Professional 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
CE004921MOMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477618494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119A N KINGSHIGHWAY",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "633011634",
            "telephone_number": "636-724-4884",
            "fax_number": "636-724-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119A N KINGSHIGHWAY",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "633011634",
            "telephone_number": "636-724-4884",
            "fax_number": "636-724-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFLINGER",
        "first_name": "RHONDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE004921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8310",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "HUDSON",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.