Active NPI
Audrey A Russell, DC
- Chiropractor
- Saint Louis, MO
National Provider Identifier
1760093223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003158A
- Practice address
- 5614 Hampton Ave
Saint Louis, MO 63109-3434 - Phone
- (314) 502-9089
- Fax
- (314) 370-2926
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08003158A | MO | Primary |
Addresses
Primary practice location
5614 Hampton Ave
Saint Louis, MO 63109-3434
Mailing address
5614 Hampton Ave
Saint Louis, MO 63109-3434
Phone (314) 502-9089
Other names 1
- Audrey Vincent
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5614 Hampton Ave
Saint Louis, MO 63109-3434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08003158A | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transcendent Health LLC | Chiropractor | Current | Accepting new patients |
| Health Point of Indiana | Chiropractor | Past | Accepting new patients |
Locations
5614 Hampton Ave
Saint Louis, MO 63109
Phone (314) 502-9089
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.
-
- Chiropractor
- Saint Louis, MO
- NPI 1639791940
-
- Chiropractor
- Merrillville, IN
- NPI 1760737787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1760093223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5614 HAMPTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093434",
"telephone_number": "314-502-9089",
"fax_number": "314-370-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5614 HAMPTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093434",
"telephone_number": "314-502-9089",
"fax_number": "314-370-2926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "AUDREY",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "08003158A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "VINCENT",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 24, 2025; 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.