Samantha Stackpole, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.014047 Issued in IL

Practice address

105 N Washington St
Jerseyville, IL 62052-1633

Phone

(618) 556-1062

NPI assigned

Oct 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Radiant Chiropractic and Natural Health LLC

  • Clinic/Center
  • Jerseyville, IL
  • NPI 1952273914
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1487427696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N WASHINGTON ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521633",
            "telephone_number": "618-556-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N WASHINGTON ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521633",
            "telephone_number": "618-556-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKPOLE",
        "first_name": "SAMANTHA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014047",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Slusser, OT
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• Nicole Smith
• Rylea Mae Smith
• Solutions Professional Counseling, LLC
• Nicole Stanfa
• Julie Ann Steinhauer, OD,
• Nathaniel Clark Stephens, BEHAVIOR TECHNICIAN
• Dustin Stewart
• Savanah Stickler, RBT

• Chiropractor in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.