Stefanie Marie Fairchild, D.C.
Individual provider Active NPI Chiropractor · Juneau, AK
NPI 1568698686 · NPPES record last updated Apr 14, 2023
Key facts
- NPI
- 1568698686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 517 (AK)
- Practice address
- 2215 Jordan Ave
Juneau, AK 99801-8050 - Phone
- (907) 500-4888
- Fax
- (907) 891-7376
- NPI assigned
- Jun 3, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2215 Jordan Ave
Juneau, AK 99801-8050
Phone (907) 500-4888
Hospital & facility affiliations
- Bartlett Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100816000612 | AK | Practitioner - Chiropractic | 2961548284 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517 | AK | MD | Psychologist |
| 3945 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Family Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Aurora Chiropractic Center P.C. | Chiropractor | Past |
Accepting new patients |
| Enhance Orthopedic Surgery, LLC | Past | Accepting new patients | |
| Owasso Wellness PLLC | Chiropractor | Past | Accepting new patients |
Locations
13720 E 86th St N
Ste 130
Owasso, OK 74055
Phone (918) 274-3888
Interoperability endpoints
- https://api.platform.athenahealth.com/15353/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 517 | AK | Yes |
Addresses
Primary practice location
2215 Jordan Ave
Juneau, AK 99801-8050
Mailing address
PO Box 211247
Auke Bay, AK 99821-1247
Phone (907) 500-4888
Other practice location 1
10004 Glacier Hwy
Ste B
Juneau, AK 99801-8560
Phone (907) 500-4888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0104 | Medicaid | AK |
Other names
- Dr. Stefanie Marie Jones
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.