DR. STACY MAE CHILTON (NPI# 1629308531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629308531 |
| Entity Type | Individual |
| Full Name | DR. STACY MAE CHILTON |
| Other Name | STACY MAE BUNDROCK |
| Credential | D.C. |
| Practice Address |
811 11th Ave Longview WA 98632-2462 |
| Practice Telephone | 3604233482 |
| Mailing Telephone | 3604233482 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2014-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60106639 | WA | Chiropractic Providers |
| Street Address |
811 11TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710054499 | White Cross Orthopedic | Durable Medical Equipment & Medical Supplies | 811 11th Ave, Ste A, Longview, WA 98632-2462 | 2006-11-29 |
| 1265063788 | Stacey Ann Welker | Massage Therapist | 811 11th Ave, Longview, WA 98632-2462 | 2020-02-03 |
| 1700441680 | Alexis Rea Minium | Massage Therapist | 811 11th Ave, Longview, WA 98632-2462 | 2019-05-06 |
| 1588156954 | Carly Sproul | Massage Therapist | 811 11th Ave, Longview, WA 98632-2462 | 2018-06-01 |
| 1659863140 | Andrew Levi Skillett | Specialist/Technologist | 811 11th Ave, Longview, WA 98632-2462 | 2018-05-31 |
| 1649628488 | Kelli Rebbecca Morris | Massage Therapist | 811 11th Ave, Longview, WA 98632-2462 | 2016-06-02 |
| 1124473905 | Kathryn Ward | Massage Therapist | 811 11th Ave, Longview, WA 98632-2462 | 2016-04-28 |
| 1144645060 | Synergy Health Solutions, PC | Chiropractor | 811 11th Ave, Longview, WA 98632-2462 | 2014-02-28 |
| 1982035408 | Heather Marie Ireton Fisher | Massage Therapist | 811 11th Ave, Longview, WA 98632-2462 | 2013-12-09 |
| 1851606511 | Anthony Ryan Chilton | Chiropractor | 811 11th Ave, Longview, WA 98632-2462 | 2010-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| 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 |
|---|---|---|---|---|
| 1790395689 | Allissa Mcclain | Chiropractor | 2393 H G Mosley Pkwy Ste 100, Longview, TX 75604-3664 | 2020-08-05 |
| 1679108096 | Kali Gehrman | Chiropractor | 1445 Commerce Ave Ste C, Longview, WA 98632-3746 | 2020-03-05 |
| 1942842992 | Equilibrium Chiropractic, LLC | Chiropractor | 1558 3rd Ave, Longview, WA 98632-3229 | 2019-10-10 |
| 1003226721 | Ashley Mayes | Chiropractor | 6582 Judson Rd, Longview, TX 75605-7076 | 2014-05-02 |
| 1659634079 | Bowen Chiropractic Clinic Pllc | Chiropractor | 3392 Us Highway 259 N, Longview, TX 75605-5086 | 2012-06-20 |
| 1346514064 | Gator One Investments Inc. | Chiropractor | 120 Johnston St, Longview, TX 75601-3909 | 2012-02-27 |
| 1770880544 | Aimee M Warmath | Chiropractor | 101 W Hawkins Pkwy, Suite 7, Longview, TX 75605-1815 | 2011-02-14 |
| 1801105994 | Randall Northcutt, D.c., P.C. | Chiropractor | 1201 N 6th St, Longview, TX 75601-5539 | 2010-10-07 |
| 1649586009 | Affordable Chiropractic, Pllc | Chiropractor | 1318 Washington Way, Suite B, Longview, WA 98632-3974 | 2010-08-24 |
| 1437473592 | Lance Monroe Potter | Chiropractor | 421 Forest Lk, Longview, TX 75605-6982 | 2010-03-18 |
| Find all providers in LONGVIEW | ||||
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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.