Annie Pamela Stephens, D.C,

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011842 Issued in IL

Practice address

11673 Main St.
Roscoe, IL 61073

Phone

(815) 623-7694

Fax

(815) 623-9689

NPI assigned

Aug 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chiropractic Family Wellness, LLC

  • Chiropractor
  • Roscoe, IL
  • NPI 1285987917
  Medicare reassignment NPD Authorized official
• East West Chiropractic Health Center LTD

  • Chiropractor
  • Roscoe, IL
  • NPI 1790982833
  NPD

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1932457355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 MAIN ST.",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "61073",
            "telephone_number": "815-623-7694",
            "fax_number": "815-623-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 MAIN ST.",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "61073",
            "telephone_number": "815-623-7694",
            "fax_number": "815-623-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "ANNIE",
        "middle_name": "PAMELA",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Renee Skaggs, LMT
• Kallie Smith, APRN
• Dana Smitley, PTA
• Evangeline Velasquez Soltes, PT
• Regino Isidro Sta Cruz Jr.
• Alicia Stevens
• Stoneview Eye Care, LLC
• Karen Stott, M.A. CCC-SLP
• Rosemary Svihlik
• Swedishamerican Hospital

• Chiropractor in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.