DR. NOFA JANE SHIBLEY (NPI# 1477563823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477563823 |
Entity Type | Individual |
Full Name | DR. NOFA JANE SHIBLEY |
Credential | DC |
Practice Address |
625 N Euclid #225 St. Louis MO 63108 |
Mailing Address |
Po Box 4175 Chesterfield MO 63006 |
Practice Telephone | 3143614325 |
Mailing Telephone | 3143614325 |
Enumeration Date | 2006-08-08 |
Last Update Date | 2010-08-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | MO006581 | MO | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | BCBS | BCBS 111678 | 01 |
Street Address |
625 N EUCLID #225 |
City | ST. LOUIS |
State | MO |
Zip Code | 63108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
Find all providers in zip 63108 |
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 |
---|---|---|---|---|
1871063057 | Clayton Pain Clinic, LLC | Chiropractor | 225 S Meramec #306, St. Louis, MO 63105-6310 | 2018-11-29 |
1568876456 | Smart Pain Solutions | Chiropractor | 2431 North Grand Blvd., St. Louis, MO 63106-1018 | 2014-06-18 |
1871930032 | Rachel Michele Gill | Chiropractor | 11d Worthington Access Dr., St. Louis, MO 63043 | 2013-05-29 |
1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
1396911350 | Mitchell Eli Davis | Chiropractor | 4144 Lindell Blvd Ste 319, St. Louis, MO 63108-2953 | 2008-04-30 |
1184755142 | John Michael Blalock | Chiropractor | 4615 Hampton Ave., St. Louis, MO 63109-2715 | 2007-03-08 |
1295821783 | Ronald Vincent Arconati | Chiropractor | 5684 Telegraph Road, St. Louis, MO 63129 | 2006-10-04 |
1629162235 | Kevin Gerard Gentemann | Chiropractor | 10028 Manchester Rd, Suite 209, St. Louis, MO 63122 | 2006-10-03 |
1386737047 | Eritrea Michael Tecletsion | Chiropractor | 5219 Delmar Blvd, St. Louis, MO 63108 | 2006-10-02 |
1902163124 | Devereux Chiropractic and Acupuncture LLC | Chiropractor | 4500 Telegraph Rd, Suite 104, St. Louis, MO 63129 | 2012-04-12 |
Find all providers in ST. LOUIS |
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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.