Organization Active NPI

Dr Julia Stickell Chiropractor, P.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1497818223
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556116 Issued in VA
Legal business name
DR JULIA STICKELL CHIROPRACTOR, P.C.
Practice address
936 General Booth Blvd
Suite C
Virginia Beach, VA 23451-4857
Phone
(757) 422-2232
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Julia A Stickell, D.C.
Title
Owner
Phone
(757) 422-2232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0104556116 VA Primary

Addresses

Primary practice location

936 General Booth Blvd
Suite C
Virginia Beach, VA 23451-4857

Mailing address

936 General Booth Blvd
Suite C
Virginia Beach, VA 23451-4857
Phone (757) 422-2232

Other identifiers 1

IdentifierTypeStateIssuer
187743OtherVAANTHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1497818223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 GENERAL BOOTH BLVD",
            "address_2": "SUITE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514857",
            "telephone_number": "757-422-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 GENERAL BOOTH BLVD",
            "address_2": "SUITE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514857",
            "telephone_number": "757-422-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JULIA STICKELL CHIROPRACTOR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "STICKELL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-422-2232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "187743",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.