Individual provider Active NPI

Shannon Taylor Sprague

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1073274098
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013541 Issued in NY
Practice address
3313 Chili Ave Ste E
Rochester, NY 14624-5300
Phone
(585) 889-3280
NPI assigned
Jan 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 013541 NY Primary

Addresses

Primary practice location

3313 Chili Ave Ste E
Rochester, NY 14624-5300

Mailing address

14 Adair Dr
Rochester, NY 14606-3610
Phone (607) 422-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knight Chiropractic Center LLP Chiropractor CurrentSince Jan 17, 2022 Accepting new patients
Campanella Chiropractic & Wellness PLLC Single Specialty PastSince Jan 17, 2022 Accepting new patients

Locations

3313 Chili Ave
Ste E
Rochester, NY 14624
Phone (585) 481-6747

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1073274098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ADAIR DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146063610",
            "telephone_number": "607-422-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 CHILI AVE STE E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245300",
            "telephone_number": "585-889-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "SHANNON",
        "middle_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.