Lynn Vitale, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2012030950 Issued in MO

Practice address

500 Jungermann Rd Ste 200
Saint Peters, MO 63376-2774

Phone

(636) 317-6311

Fax

(636) 317-6312

NPI assigned

Sep 4, 2012

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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Core Chiropractic & Acupuncture Corp

  • Chiropractor
  • Saint Peters, MO
  • NPI 1811248404
  Medicare reassignment

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1972852192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JUNGERMANN RD STE 200",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762774",
            "telephone_number": "636-317-6311",
            "fax_number": "636-317-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JUNGERMANN RD STE 200",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762774",
            "telephone_number": "636-317-6311",
            "fax_number": "636-317-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012030950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Vesser, BCABA
• Daniela Vetan-Zlibut, PA
• Anna Vielweber
• Villages of St Peters LLC
• Visionworks Inc
• Vitality Management LLC
• Joseph Ghio Viviano Jr., M.D.
• Vna Homecare, Inc.
• Vna Homecare, Inc.
• Christine Vogel, DO

• Chiropractor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.