DR. STEPHANIE KAY BREWER (NPI# 1336327105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336327105 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE KAY BREWER |
| Other Name | DR. STEPHANIE KAY SHOOK |
| Credential | D.C. |
| Practice Address |
211 S Perrine Ave Centralia IL 62801-3635 |
| Mailing Address |
647 Nancy Dr Centralia IL 62801-4424 |
| Practice Telephone | 3077609999 |
| Mailing Telephone | 3077609999 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.011048 | IL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 676 | WY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | MEDICARE PTAN | W22350 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700362043 | Stephanie Brewer | Specialist/Technologist | 1 College Park Dr, Saint Louis, MO 63141-8660 | 2018-07-18 |
| 1518469444 | Stephanie Brewer | Counselor | 3430 N Jackson Hwy, Sheffield, AL 35660-3512 | 2018-03-07 |
| 1144769555 | Stephanie Brewer | Social Worker | 100 Loop St, Clinton, NC 28328-4062 | 2017-02-17 |
| 1831599109 | Stephanie Brewer | Nurse Practitioner | 40 Medicine Cir, Clinic 3j, Durham, NC 27710-0001 | 2014-08-24 |
| 1932548575 | Stephanie K Brewer | Psychologist | 1959 Ne Pacific St, Box 356560, Seattle, WA 98195-6560 | 2013-06-17 |
| 1689977266 | Stephanie T Brewer | Physician Assistant | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2010-12-21 |
| Street Address |
211 S PERRINE AVE |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619024650 | Dana Lee Mathis | Chiropractor | 211 S Perrine Ave, Centralia, IL 62801-3635 | 2007-01-04 |
| 1134582018 | Backroad Health Care Inc | Nurse Practitioner | 211 S Perrine Ave, Centralia, IL 62801-3635 | 2016-03-30 |
| 1821234154 | Critter Chiropractic Inc. | Chiropractor | 211 S Perrine Ave, Centralia, IL 62801-3635 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689846537 | Randal Dean Huhmann | Chiropractor | 204 E Sneed St, Centralia, MO 65240-1354 | 2008-04-01 |
| 1154448371 | John Harvard Stiltner | Chiropractor | 1218 Harrison Avenue, Centralia, WA 98531 | 2007-03-23 |
| 1538284310 | Brenda M Viznaugh-milton | Chiropractor | 201 N Rock St, Centralia, WA 98531-4339 | 2007-03-20 |
| 1144353483 | Family Chiropractic Inc | Chiropractor | 1101 Mellen St, Centralia, WA 98531-1173 | 2007-03-14 |
| 1306979026 | Centralia Chiropractic, Inc | Chiropractor | 120 W Magnolia St, Centralia, WA 98531-4316 | 2007-03-13 |
| 1013044908 | Chad N Mills | Chiropractor | 1102 Kresky Ave, Centralia, WA 98531-3732 | 2007-02-27 |
| 1043351596 | Terry Chiropractic Clinic, Ltd | Chiropractor | 1415 E Third St, Centralia, IL 62801-4401 | 2007-02-09 |
| 1770637332 | Brown Chiropractic Wellness Center | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2007-01-22 |
| 1619024650 | Dana Lee Mathis | Chiropractor | 211 S Perrine Ave, Centralia, IL 62801-3635 | 2007-01-04 |
| 1417010109 | John E Bridges | Chiropractor | 624 Hunt St, Centralia, WA 98531-1005 | 2006-12-18 |
| Find all providers in CENTRALIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.