Shannon Dee Gaertner-Ewing, DC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CHIA829 Issued in ID

Practice address

217 W Georgia Ave Ste 120
Nampa, ID 83686-6812

Phone

(208) 467-5994

Fax

(208) 467-5127

NPI assigned

May 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gaertner Chiropractic & Integrated Medicine Clinic PA

  • Nutrition Chiropractor
  • Nampa, ID
  • NPI 1356358204
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1093718702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3306",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836533306",
            "telephone_number": "208-467-5994",
            "fax_number": "208-467-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W GEORGIA AVE STE 120",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866812",
            "telephone_number": "208-467-5994",
            "fax_number": "208-467-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERTNER-EWING",
        "first_name": "SHANNON",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "ID",
            "license": "CHIA829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Medicine Center of Boise LLC
• Patricia J Funkhouser, DNP
• Melissa E Funston, LPC, CADC
• Aaron Gabrielsen, HIS
• Gaertner Chiropractic & Integrated Medicine Clinic PA
• Morgan Gailey
• Dylan Chantz Gallegos, DO
• Kindra Galloway
• Tristan Galloway, DDS
• Carly Gamangasso

• Nutrition Chiropractor in Nampa, ID
• Providers in Nampa, ID by specialty
• Nutrition Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.