Individual provider Active NPI

Katie Etnier, DC

  • Chiropractor
  • Arnold, MO
National Provider Identifier
1548733694
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2018045546 Issued in MO
Practice address
101 Richardson Xing
Arnold, MO 63010-6006
Phone
(636) 464-8360
Fax
(636) 464-2180
NPI assigned
Jan 10, 2019
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2018045546 MO Primary

Addresses

Primary practice location

101 Richardson Xing
Arnold, MO 63010-6006

Mailing address

101 Richardson Xing
Arnold, MO 63010-6006
Phone (636) 464-8360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221001474 MO Practitioner - Chiropractic 1355689142 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018045546MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Chiropractic, LLC Chiropractor CurrentSince Jan 6, 2020 Accepting new patients
Chiropractic Wellness Center of St Louis LLC CurrentSince Dec 28, 2021 Accepting new patients
Amy Horn Twenty Seven, LLC Chiropractor CurrentSince Feb 4, 2026 Accepting new patients
Mehringer Chiropractic, LLC Chiropractor PastSince Mar 31, 2003 Accepting new patients

Locations

101 Richardson Xing
Arnold, MO 63010
Phone (636) 464-8360

1804 Jeffco Blvd
Arnold, MO 63010
Phone (636) 296-8123

1747 Smizer Station Rd
Ste 4
Fenton, MO 63026
Phone (636) 825-6555

1747 Smizer Station Rd
Ste 5
Fenton, MO 63026
Phone (636) 529-7000

1520 Parkway W
Festus, MO 63028
Phone (636) 937-0100

Organizations & group practices 6

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1548733694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RICHARDSON XING",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106006",
            "telephone_number": "636-464-8360",
            "fax_number": "636-464-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RICHARDSON XING",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106006",
            "telephone_number": "636-464-8360",
            "fax_number": "636-464-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETNIER",
        "first_name": "KATIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2018045546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.