Individual provider Active NPI

Stephanie Ann Frost, DC

  • Chiropractor
  • Greeneville, TN
National Provider Identifier
1508874363
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1569 Issued in TN
Practice address
1007 Tusculum Blvd
Greeneville, TN 37745-4113
Phone
(423) 798-9710
Fax
(423) 798-9722
NPI assigned
Aug 4, 2006
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC1569 TN Primary

Addresses

Primary practice location

1007 Tusculum Blvd
Greeneville, TN 37745-4113

Mailing address

1007 Tusculum Blvd Ste C
Greeneville, TN 37745-4113
Phone (423) 798-9710

Other identifiers 1

IdentifierTypeStateIssuer
1519721MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120418000503 TN Practitioner - Chiropractic 8729249784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1007 Tusculum Blvd
Greeneville, TN 37745-4113
Phone (423) 798-9710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC1569TNMDChiropractor
1569TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Briggs Frost Chiropractic PC Chiropractor CurrentSince Aug 29, 2023 Accepting new patients
Southeastern Healthcare Consultants LLC Chiropractor Past Accepting new patients

Locations

1007 Tusculum Blvd
Greeneville, TN 37745
Phone (423) 798-9710

1007 Tusculum Blvd
Ste C
Greeneville, TN 37745

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1508874363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 TUSCULUM BLVD STE C",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454113",
            "telephone_number": "423-798-9710",
            "fax_number": "423-798-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454113",
            "telephone_number": "423-798-9710",
            "fax_number": "423-798-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC1569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519721",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.