Active NPI
Stephanie Elaine Fernald, DC
- Chiropractor
- Midlothian, VA
National Provider Identifier
1841765609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104-557515
- Practice address
- 13924 Coalfield Commons PL Ste 102
Midlothian, VA 23114-1255 - Phone
- (804) 594-1998
- Fax
- (804) 594-3804
- NPI assigned
- Oct 9, 2018
- Last updated
- Oct 23, 2018
- 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 | 0104-557515 | VA | Primary |
Addresses
Primary practice location
13924 Coalfield Commons PL Ste 102
Midlothian, VA 23114-1255
Mailing address
3505 Stuart Ave Apt 104
Richmond, VA 23221-2120
Phone (804) 519-2764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Chiropractor
- Midlothian, VA
- NPI 1316115652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1841765609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 STUART AVE APT 104",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232212120",
"telephone_number": "804-519-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13924 COALFIELD COMMONS PL STE 102",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231141255",
"telephone_number": "804-594-1998",
"fax_number": "804-594-3804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNALD",
"first_name": "STEPHANIE",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104-557515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.