Individual provider Active NPI

Shanna R Clabaugh, D.C.

  • Chiropractor
  • Spirit Lake, IA
National Provider Identifier
1023361532
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007515 Issued in IA
Practice address
1306 18TH St
Suite D
Spirit Lake, IA 51360-1163
Phone
(712) 336-2626
Fax
(712) 336-8834
NPI assigned
Oct 22, 2012
Last updated
Jul 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007515 IA Primary

Addresses

Primary practice location

1306 18TH St
Suite D
Spirit Lake, IA 51360-1163

Mailing address

703 Lake St
Spirit Lake, IA 51360-1647
Phone (712) 336-2626

Other names 1

  • Shanna R Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000447 IA Practitioner - Chiropractic 7810140589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

802 Lake St
Suite 4
Spirit Lake, IA 51360-1650
Phone (712) 336-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Family Chiropractic LLC CurrentSince Oct 22, 2012 Accepting new patients

Locations

1306 18th St
Ste D
Spirit Lake, IA 51360
Phone (712) 336-2626

703 Lake St
Spirit Lake, IA 51360
Phone (712) 336-2626

802 Lake St
Ste 4
Spirit Lake, IA 51360
Phone (712) 336-2626

Networks

  • IA HMO C-SNP
  • IA HMO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1023361532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 LAKE ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601647",
            "telephone_number": "712-336-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 18TH ST",
            "address_2": "SUITE D",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601163",
            "telephone_number": "712-336-2626",
            "fax_number": "712-336-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLABAUGH",
        "first_name": "SHANNA",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "ROBINSON",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.