Individual provider Active NPI

Shianne Cook, DC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1124831086
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2025001004 Issued in MO
Practice address
4444 N Belleview Ave Ste 204
Kansas City, MO 64116-1507
Phone
(816) 866-0708
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2025001004 MO Primary

Addresses

Primary practice location

4444 N Belleview Ave Ste 204
Kansas City, MO 64116-1507

Mailing address

21810 W 95TH Ter
Lenexa, KS 66220-9758
Phone (913) 230-9476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211001228 MO Practitioner - Chiropractic 4082144779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Vitality Chiropractic, LLCGroup PAC ID 6709103807, 2 clinicians

Practice addresses (Care Compare)

4444 N Belleview Ave
Suite 204
Kansas City, MO 64116-1507
Phone (816) 866-0708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025001004MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
True Vitality Chiropractic, LLC Chiropractor CurrentSince Feb 3, 2025 Accepting new patients

Locations

4444 N Belleview Ave
Ste 204
North Kansas City, MO 64116
Phone (816) 452-8080

Organizations & group practices 1

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": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1124831086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21810 W 95TH TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662209758",
            "telephone_number": "913-230-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 N BELLEVIEW AVE STE 204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161507",
            "telephone_number": "816-866-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SHIANNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2025001004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.