Ashley Amanda Battaglia, D.C.
Individual provider Active NPI Chiropractor · Ballwin, MO
NPI 1891047486 · NPPES record last updated Sep 19, 2019
Key facts
- NPI
- 1891047486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2013003526 (MO)
- Practice address
- 15945 Clayton Rd Ste 230C
Ballwin, MO 63011 - Phone
- (636) 256-5200
- NPI assigned
- Oct 8, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150120000242 | MO | Practitioner - Chiropractic | 2365686813 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013003526 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Chiropractor | Current |
Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current |
Accepting new patients | |
| Amy Horn Twenty Seven, LLC | Chiropractor | Past |
Accepting new patients |
| Ashley a Gaines DC, LLC | Chiropractor | Past |
Accepting new patients |
Locations
15945 Clayton Rd
Ste 230C
Ballwin, MO 63011
Phone (636) 256-5200
15945 Clayton Rd
Ste 230
Ballwin, MO 63011
Phone (636) 256-5200
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2013003526 | MO | Yes |
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
- Ashley Amanda Gaines
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.