Holistic Family Practice LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

004609 Issued in MO

Legal business name

HOLISTIC FAMILY PRACTICE LLC

Practice address

2918 Sutton Blvd
Maplewood, MO 63143-3012

Phone

(314) 781-0063

NPI assigned

Oct 2, 2013

Last updated

Oct 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurie S Berger, DCNPI 1619021953

Title

Sole MBR

Phone

(314) 781-0063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Gould Karlen, DC

  • Chiropractor
  • Maplewood, MO
  • NPI 1134171507
  Medicare reassignment Care Compare group NPD
• Carrie Lee Mitchell, D.C.

  • Chiropractor
  • Maplewood, MO
  • NPI 1972848687
  Medicare reassignment Care Compare group NPD
• Laurie Smith Berger, DC

  • Chiropractor
  • Maplewood, MO
  • NPI 1619021953
  Authorized official Same address or phone
• Christine McNaughton, MA LCSW LPC

  • Clinical Social Worker
  • Kirkwood, MO
  • NPI 1497856322
  NPD (past)
• Barbara Yeziorna, MSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1760655401
  NPD (past)

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1992132104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 SUTTON BLVD",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631433012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 SUTTON BLVD",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631433012",
            "telephone_number": "314-781-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "314-781-0063",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giant Steps of St. Louis
• Dakota J Gonzalez, LMT
• Maggie Goodwin
• Daniel Graham, PHARMD
• Carl R Hoelting, OD
• Davontre Holland
• Susan Ignazito-Wilhelm, MAC, LPC
• J. W. H. Healthcare Services
• Rebecca Gould Karlen, DC
• Jonathan J Kidd, CNIM

• Chiropractor in Maplewood, MO
• Providers in Maplewood, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.