Individual provider Active NPI

Stefanie Mara Hinesley, DC

  • Chiropractor
  • Hermitage, TN
National Provider Identifier
1730792425
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3296 Issued in TN
Practice address
1316 Central CT
Hermitage, TN 37076-3142
Phone
(615) 885-8282
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 3296 TN Primary

Addresses

Primary practice location

1316 Central CT
Hermitage, TN 37076-3142

Mailing address

1316 Central CT
Hermitage, TN 37076-3142
Phone (615) 885-8282

Other practice location 1

541 N Mount Juliet Rd Ste 2101
MT Juliet, TN 37122-3874
Phone (615) 758-7101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929002819 TN Practitioner - Chiropractic 8921427683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Totty Chiropractic of Mt. Juliet, PLLCGroup PAC ID 1850478686, 3 clinicians

Practice addresses (Care Compare)

1316 Central CT
Hermitage, TN 37076-3142
Phone (615) 885-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3296TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Totty Chiropractic of Mt. Juliet, PLLC CurrentSince Aug 25, 2020 Accepting new patients

Locations

1316 Central Ct
Hermitage, TN 37076
Phone (615) 885-8282

541 N Mount Juliet Rd
Ste 2101
Mt Juliet, TN 37122
Phone (615) 758-7101

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1730792425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 CENTRAL CT",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763142",
            "telephone_number": "615-885-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 CENTRAL CT",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763142",
            "telephone_number": "615-885-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 N Mount Juliet Rd Ste 2101",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223874",
            "country_code": "US",
            "telephone_number": "615-758-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINESLEY",
        "first_name": "STEFANIE",
        "middle_name": "MARA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.