Individual provider Active NPI

Caroline Anne Seymour, D.C.

  • Neurology Chiropractor
  • Saint Louis, MO
National Provider Identifier
1538295290
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
2001020199 Issued in MO
Practice address
4187 Crescent Dr
Suite a
Saint Louis, MO 63129-1098
Phone
(314) 892-4101
Fax
(314) 892-4120
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 2001020199 MO Primary
Nutrition Chiropractor 111NN1001X 2001020199 MO

Addresses

Primary practice location

4187 Crescent Dr
Suite a
Saint Louis, MO 63129-1098

Mailing address

4187 Crescent Dr
Suite a
Saint Louis, MO 63129-1098
Phone (314) 892-4101

Other identifiers 1

IdentifierTypeStateIssuer
174832OtherMOANTHEM BLUE CROSS BLUE SH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401000645 TN Practitioner - Chiropractic 7315385002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Oz Health IncGroup PAC ID 9739322678, 3 clinicians

Practice addresses (Care Compare)

7530 Goodwin Rd
Chattanooga, TN 37421-3182
Phone (423) 402-4602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001020199MOMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oz Health Inc CurrentSince Feb 10, 2024 Accepting new patients
Yanni D. Loli D.C.P.C. PastSince Nov 17, 2007 Accepting new patients
Caroline a. Seymour D.C.P.C. Past Accepting new patients

Locations

7530 Goodwin Rd
Chattanooga, TN 37421
Phone (423) 402-4602

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1538295290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4187 CRESCENT DR",
            "address_2": "SUITE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291098",
            "telephone_number": "314-892-4101",
            "fax_number": "314-892-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4187 CRESCENT DR",
            "address_2": "SUITE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291098",
            "telephone_number": "314-892-4101",
            "fax_number": "314-892-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "CAROLINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MO",
            "license": "2001020199",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "2001020199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "174832",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.