Stacy Mae Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003569 Issued in MN

Practice address

118 E 4TH St
Zumbrota, MN 55992-1520

Phone

(507) 732-7455

Fax

(507) 732-7455

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861592875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E 4TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921520",
            "telephone_number": "507-732-7455",
            "fax_number": "507-732-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E 4TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921520",
            "telephone_number": "507-732-7455",
            "fax_number": "507-732-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACY",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "6C412FA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Hartofilakidou, LADC
• Troy Patrick Higley, DC
• Natalie Grace Huemann
• Hy-Vee Inc
• Ashleigh A Johnson, OD
• Rupam Kademani, DMD
• Katie Gail Kennedy, L.I.C.S.W, M.S.W.
• Kevin Langeson Kish, OD
• Eugene Michael Kliber, PA-C
• James Allen Kurth, RPH

• Chiropractor in Zumbrota, MN
• Providers in Zumbrota, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.