Individual provider Active NPI

Stefanie Sanger Woollen, D.C., J.D.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1639316888
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009000014 Issued in MO
Practice address
7751 Carondelet Ave
Suite 606
Saint Louis, MO 63105-3316
Phone
(314) 726-4600
Fax
(314) 721-3992
NPI assigned
Jan 9, 2009
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 2009000014 MO Primary

Addresses

Primary practice location

7751 Carondelet Ave
Suite 606
Saint Louis, MO 63105-3316

Mailing address

7751 Carondelet Ave
Suite 606
Saint Louis, MO 63105-3316
Phone (314) 726-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090707000255 MO Practitioner - Chiropractic 2567513468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8820 Ladue Rd
Suite 201
Saint Louis, MO 63124-2080
Phone (314) 726-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
2009000014MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stefanie Sanger, LLC Chiropractor CurrentSince Jun 9, 2011 Accepting new patients
Center for Integrated Health, LLC Chiropractor Past Accepting new patients

Locations

7751 Carondelet Ave
Ste 606
Saint Louis, MO 63105
Phone (314) 726-4600

8820 Ladue Rd
Ste 201
Saint Louis, MO 63124
Phone (314) 726-4600

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, 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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1639316888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 CARONDELET AVE",
            "address_2": "SUITE 606",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053316",
            "telephone_number": "314-726-4600",
            "fax_number": "314-721-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 CARONDELET AVE",
            "address_2": "SUITE 606",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053316",
            "telephone_number": "314-726-4600",
            "fax_number": "314-721-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEN",
        "first_name": "STEFANIE",
        "middle_name": "SANGER",
        "name_prefix": "Dr.",
        "credential": "D.C., J.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 15, 2016; 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.