Individual provider Active NPI

Angela Stephens

  • Chiropractor
  • Austin, TX
National Provider Identifier
1568820132
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13056 Issued in TX
Practice address
5775 Airport Blvd
300
Austin, TX 78752-4218
Phone
(512) 451-0115
Fax
(512) 451-1208
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13056 TX Primary

Addresses

Primary practice location

5775 Airport Blvd
300
Austin, TX 78752-4218

Mailing address

5775 Airport Blvd
300
Austin, TX 78752-4218
Phone (512) 451-0115

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

State licenses

LicenseStateTypeSpecialty
13056TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Chiropractic and Rehab LLC Chiropractor PastSince Aug 14, 2020 Accepting new patients
Wendee R. Whitehead PC Chiropractor PastSince Jul 5, 2010 Accepting new patients

Organizations & group practices 2

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1568820132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 AIRPORT BLVD",
            "address_2": "300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524218",
            "telephone_number": "512-451-0115",
            "fax_number": "512-451-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 AIRPORT BLVD",
            "address_2": "300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524218",
            "telephone_number": "512-451-0115",
            "fax_number": "512-451-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.