Individual provider Active NPI

Kimberly Russ Stephenson, D.C.

  • Chiropractor
  • Hartselle, AL
National Provider Identifier
1639110182
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2138 Issued in AL
Practice address
807 Rhodes St NW
Hartselle, AL 35640-4436
Phone
(256) 773-1113
Fax
(256) 751-1772
NPI assigned
Jun 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2138 AL Primary
Chiropractor 111N00000X 2997 SC

Addresses

Primary practice location

807 Rhodes St NW
Hartselle, AL 35640-4436

Mailing address

PO Box 1773
Hartselle, AL 35640-8773
Phone (256) 773-1113

Other names 1

  • Miss Kimberly Carol Russ Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000480 AL Practitioner - Chiropractic 3971507575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2138ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephenson Chiropractic & Wellness Center P C Chiropractor CurrentSince Jul 26, 2006 Accepting new patients

Locations

807 Rhodes St NW
Hartselle, AL 35640
Phone (256) 773-1113

Organizations & group practices 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639110182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1773",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356408773",
            "telephone_number": "256-773-1113",
            "fax_number": "256-751-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 RHODES ST NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404436",
            "telephone_number": "256-773-1113",
            "fax_number": "256-751-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "KIMBERLY",
        "middle_name": "RUSS",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2138",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RUSS",
            "middle_name": "CAROL",
            "prefix": "MISS",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hartselle, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.