Individual provider Active NPI

Ashley Amanda Battaglia, D.C.

  • Chiropractor
  • Ballwin, MO
National Provider Identifier
1891047486
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2013003526 Issued in MO
Practice address
15945 Clayton Rd Ste 230C
Ballwin, MO 63011
Phone
(636) 256-5200
NPI assigned
Oct 8, 2012
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2013003526 MO Primary

Addresses

Primary practice location

15945 Clayton Rd Ste 230C
Ballwin, MO 63011

Mailing address

15945 Clayton Rd Ste 230C
Ballwin, MO 63011-2491
Phone (636) 256-5200

Other practice location 1

1761 Jeffco Blvd
Arnold, MO 63010-2713
Phone (636) 296-1222

Other names 1

  • Ashley Amanda Gaines Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150120000242 MO Practitioner - Chiropractic 2365686813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013003526MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities Current Accepting new patients
Mercy Hospitals East Communities Chiropractor CurrentSince Sep 23, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Sep 23, 2019 Accepting new patients
Amy Horn Twenty Seven, LLC Chiropractor PastSince Jan 1, 2015 Accepting new patients
Ashley a Gaines DC, LLC Chiropractor PastSince Aug 19, 2013 Accepting new patients

Locations

15945 Clayton Rd
Ste 230
Ballwin, MO 63011
Phone (636) 256-5200

15945 Clayton Rd
Ste 230C
Ballwin, MO 63011
Phone (636) 256-5200

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1891047486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 CLAYTON RD STE 230C",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112491",
            "telephone_number": "636-256-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CLAYTON RD STE 230C",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-256-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 Jeffco Blvd",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MO",
            "postal_code": "630102713",
            "country_code": "US",
            "telephone_number": "636-296-1222",
            "fax_number": "636-296-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTAGLIA",
        "first_name": "ASHLEY",
        "middle_name": "AMANDA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013003526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "GAINES",
            "middle_name": "AMANDA",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.

Verify at the official NPI Registry.