Shauna Burshem, D.C.
Individual provider Active NPI Chiropractor · Goodhue, MN
NPI 1104002823 · NPPES record last updated Oct 7, 2016
Key facts
- NPI
- 1104002823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5060 (MN)
- Practice address
- 404 N Broadway
Goodhue, MN 55027-9200 - Phone
- (651) 923-5717
- NPI assigned
- Jan 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
404 N Broadway
Goodhue, MN 55027-9200
Phone (651) 923-5717
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080324000386 | MN | Practitioner - Chiropractic | 1456437052 | Practice locations: Goodhue, MN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5060 | MN | Yes |
Addresses
Primary practice location
404 N Broadway
Goodhue, MN 55027-9200
Mailing address
404 N Broadway
Goodhue, MN 55027-9200
Phone (651) 923-5717
Other providers in Goodhue, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.