Individual provider Active NPI

Crystal Lynn Stephens, D.C.

  • Chiropractor
  • Altoona, PA
National Provider Identifier
1821147794
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009736 Issued in PA
Practice address
1915 Valley View Blvd Rear
Altoona, PA 16602-6527
Phone
(814) 941-1400
Fax
(814) 941-0862
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009736 PA Primary

Addresses

Primary practice location

1915 Valley View Blvd Rear
Altoona, PA 16602-6527

Mailing address

1915 Valley View Blvd Rear
Altoona, PA 16602-6527
Phone (814) 941-1400

Other identifiers 2

IdentifierTypeStateIssuer
001928832OtherPAHIGHMARK
101876402MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000023 PA Practitioner - Chiropractic 4688776966 Reassigns benefits to 1 organization
Practice locations: Altoona, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Better Balance Chiropractic LLCGroup PAC ID 4486954922, 2 clinicians

Practice addresses (Care Compare)

411 S Logan Blvd
Suite 3
Altoona, PA 16602-5654
Phone (814) 296-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. R.J. Scanlan Chiropractic Clinic, P,C. Chiropractor PastSince Aug 23, 2011 Accepting new patients
Thomas R. Brouse III, D.C. P.C. Chiropractor PastSince Mar 15, 2002 Accepting new patients

Organizations & group practices 3

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1821147794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 VALLEY VIEW BLVD REAR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026527",
            "telephone_number": "814-941-1400",
            "fax_number": "814-941-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 VALLEY VIEW BLVD REAR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026527",
            "telephone_number": "814-941-1400",
            "fax_number": "814-941-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001928832",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101876402",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.