Active NPI
Shannon Gonzalez-James, D.C.
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1093133712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11082
- Practice address
- 9550 Baymeadows Rd Ste 9
Jacksonville, FL 32256-0748 - Phone
- (904) 730-5115
- Fax
- (904) 828-5552
- NPI assigned
- Mar 31, 2014
- Last updated
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11082 | FL | Primary |
Addresses
Primary practice location
9550 Baymeadows Rd Ste 9
Jacksonville, FL 32256-0748
Mailing address
9550 Baymeadows Rd Ste 9
Jacksonville, FL 32256-0748
Phone (904) 730-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2711 University Blvd N
Jacksonville, FL 32211-3235
Phone (904) 743-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chanatrydc, LLC | Chiropractor | Current | Accepting new patients |
| Harrington Partners LLC | Past | Accepting new patients |
Locations
2711 University Blvd N
Jacksonville, FL 32211
Phone (904) 473-6700
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, 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": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1093133712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9550 BAYMEADOWS RD STE 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560748",
"telephone_number": "904-730-5115",
"fax_number": "904-828-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 BAYMEADOWS RD STE 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560748",
"telephone_number": "904-730-5115",
"fax_number": "904-828-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-JAMES",
"first_name": "SHANNON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.