DR. AMY GRADDY ST. JOHN (NPI# 1528396934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528396934 |
| Entity Type | Individual |
| Full Name | DR. AMY GRADDY ST. JOHN |
| Credential | D.C., LMT |
| Practice Address |
4011 W Plano Pkwy Ste 100 Plano TX 75093-5620 |
| Practice Telephone | 2148010741 |
| Practice Fax Number | 8889721621 |
| Mailing Telephone | 2148010741 |
| Mailing Fax Number | 8889721621 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11054 | TX | Chiropractic Providers |
| N | 225700000X | Massage Therapist | MT028852 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526950 | Amy V. St. John | Physical Therapist | 3760 Convoy St Ste 100, San Diego, CA 92111-3743 | 2006-04-07 |
| Street Address |
4011 W PLANO PKWY STE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861713661 | Serendipity Health & Wellness, PC | Massage Therapist | 4011 W Plano Pkwy Ste 100, Plano, TX 75093-5620 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| 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 |
|---|---|---|---|---|
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1801436316 | Heather N Morgan | Chiropractor | 6020 W Parker Rd Ste 260, Plano, TX 75093-0041 | 2020-01-13 |
| 1659932291 | Destin Legacy Inc | Chiropractor | 2200 Los Rios Blvd Ste 127, Plano, TX 75074-3478 | 2019-06-25 |
| 1538725957 | Brittney Person | Chiropractor | 4140 Legacy Dr Ste 324, Plano, TX 75024-3494 | 2019-05-10 |
| 1033622279 | Weston Reese Kurtz | Chiropractor | 5904 Chapel Hill Blvd Ste 210, Plano, TX 75093-5909 | 2017-11-09 |
| 1093237158 | Brent Daniel Money | Chiropractor | 2233 W 15th St, Plano, TX 75075 | 2017-07-11 |
| 1689106338 | Cm Functional Health Centers LLC | Chiropractor | 5000 Legacy Dr Ste 240, Plano, TX 75024-3112 | 2017-03-31 |
| 1093266603 | Kelly Bender | Chiropractor | 2609 Northcrest Dr, Plano, TX 75075-8139 | 2016-10-18 |
| 1174079032 | Joshua Baek | Chiropractor | 8604 Preston Rd, Suite 118, Plano, TX 75024-3318 | 2016-08-31 |
| 1407203367 | Mullaney Chiropractic | Chiropractor | 721 Central Expy, Suite 404, Plano, TX 75075-8843 | 2016-05-20 |
| Find all providers in PLANO | ||||
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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.