Active NPI
Stephanie Lee Marsden, D.C.
- Chiropractor
- Columbia, MO
National Provider Identifier
1518067776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2004027734
- Practice address
- 3304 W Broadway Business Park CT
Suite I
Columbia, MO 65203-0109 - Phone
- (573) 445-3702
- Fax
- (573) 445-3721
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2004027734 | MO | Primary |
Addresses
Primary practice location
3304 W Broadway Business Park CT
Suite I
Columbia, MO 65203-0109
Mailing address
3302 W Broadway Business Park CT
Suite D
Columbia, MO 65203-0169
Phone (573) 445-3702
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7068876 | Other | MO | AETNA PIN |
| 692377 | Other | MO | HEALTHLINK PIN |
| 195528 | Other | MO | BLUE CROSS PIN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1518067776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 W BROADWAY BUSINESS PARK CT",
"address_2": "SUITE D",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652030169",
"telephone_number": "573-445-3702",
"fax_number": "573-445-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3304 W BROADWAY BUSINESS PARK CT",
"address_2": "SUITE I",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652030109",
"telephone_number": "573-445-3702",
"fax_number": "573-445-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSDEN",
"first_name": "STEPHANIE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2004027734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7068876",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PIN",
"identifier": "692377",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "195528",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.