Shane Taylor Wilkinson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1735 Issued in LA

Practice address

1607 Johnson St.
Jennings, LA 70546

Phone

(337) 824-5522

Fax

(337) 824-5527

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

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 LA, NY2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifetime Physical Therapy and Chiropractic PLLCGroup PAC ID 4486954484, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Lifetime Physical Therapy & Chiropractic PLLC

  • Chiropractor
  • West Harrison, NY
  • NPI 1295118073
  Medicare reassignment Care Compare group
• Chiropractic America,LLC

  • Chiropractor
  • Jennings, LA
  • NPI 1063518454
  Medicare reassignment NPD
• Joseph a Livergood, DC, LLC

  • Chiropractor
  • Lake Charles, LA
  • NPI 1760997241
  Medicare reassignment NPD
• Anderson Chiropractic PLLC

  • Chiropractor
  • Leander, TX
  • NPI 1134160997
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1124248968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 JOHNSON ST.",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-824-5522",
            "fax_number": "337-824-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 JOHNSON ST.",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-824-5522",
            "fax_number": "337-824-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "SHANE",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindy West, BCBA
• Kelly Mott Whitehead, FNP-C
• Sarah K. Whitehead, P.T,
• Why Breathe Easy, Inc
• Brian Cranford Wilder, M.D.
• William Dean Fontenot Inc.
• Chaka Williams
• Juliet Theresa Williams, P.T.
• Sydney Wilson, PT, DPT
• Cheryl Winey, NP

• Chiropractor in Jennings, LA
• Providers in Jennings, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.