STACY K. EDWARDS, PSC (NPI# 1336381367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336381367 |
| Entity Type | Organization |
| Organization Name | STACY K. EDWARDS, PSC |
| Other Organization Name | EDWARDS CHIROPRACTIC |
| Practice Address |
130 N Broadway St Suite #1 Berea KY 40403-2044 |
| Mailing Address |
Po Box 957 Berea KY 40403-0957 |
| Practice Telephone | 8599869477 |
| Practice Fax Number | 8599857876 |
| Mailing Telephone | 8599869477 |
| Mailing Fax Number | 8599857876 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | DR. STACY KENTON EDWARDS (DOCTOR/OWNER) |
| Authorized Official Telephone | 8599869477 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4066 | KY | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Edwards Chiropractic | Other Name - Individual/Organization |
| Street Address |
130 N BROADWAY ST SUITE #1 |
| City | BEREA |
| State | KY |
| Zip Code | 40403-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| 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 |
|---|---|---|---|---|
| 1124593223 | William Munoz Jr. | Chiropractor | 44 W Bagley Rd, Berea, OH 44017-1933 | 2018-10-04 |
| 1447539739 | Zachary David Sedivy | Chiropractor | 148 Oak Meadow Dr, Berea, KY 40403-9580 | 2011-08-04 |
| 1972822906 | Dan Sipple Enterprises, LLC | Chiropractor | 502 Richmond Rd N Ste 2, Berea, KY 40403-1151 | 2010-06-01 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| 1659552032 | Sipple & Sipple Chiropractic | Chiropractor | 502 Richmond Rd N, Berea, KY 40403-1151 | 2007-11-14 |
| 1811024466 | Harmon Chiropractic Inc | Chiropractor | 327 Chestnut St, Berea, KY 40403-1921 | 2007-02-28 |
| 1780740423 | Stacy Kenton Edwards | Chiropractor | 130 N. Broadway, Suite #1, Berea, KY 40403 | 2006-12-28 |
| 1962578013 | Eric Macanga | Chiropractor | 165 W Bagley Rd, Berea, OH 44017-1856 | 2006-11-28 |
| 1467525295 | Christopher D. Ciryak | Chiropractor | 44 West Bagley, Berea, OH 44017-1933 | 2006-11-17 |
| 1003844267 | John Christopher Sipple | Chiropractor | 502 Richmond Rd N Ste A, Berea, KY 40403-1151 | 2006-06-28 |
| Find all providers in BEREA | ||||
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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.