Amy Graddy St. John, D.C., LMT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11054 Issued in TX

Practice address

4011 W Plano Pkwy Ste 100
Plano, TX 75093-5620

Phone

(214) 801-0741

Fax

(888) 972-1621

NPI assigned

Nov 23, 2009

Last updated

Mar 20, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Serendipity Health & Wellness, PC

  • Chiropractor
  • Plano, TX
  • NPI 1861713661
  Authorized official Same address or phone

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1528396934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935620",
            "telephone_number": "214-801-0741",
            "fax_number": "888-972-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935620",
            "telephone_number": "214-801-0741",
            "fax_number": "888-972-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "AMY",
        "middle_name": "GRADDY",
        "name_prefix": "Dr.",
        "credential": "D.C., LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11054",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT028852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarath Chandran Srinivasan, MDS
• Sroyc PLLC
• SRP Behavioral Hospital of Plano LLC (WellBridge Healthcare of Plano)
• SRR Healthcare Inc (Omni Pharmacy)
• St Jude Medical S.C. Inc (St Jude Medical Neuro Division)
• Rebecca E Stachniak, M.D.
• Peter Steven Stack, M.D.
• Stacy R Stephens MD Ralph J Turner MD and Associates
• Brooke Stafford, RBT
• David R Stager Sr., M.D.

• Chiropractor in Plano, TX
• Providers in Plano, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.