Active NPI
Shenita T. Staggers, D.C.
- Chiropractor
- Sun City West, AZ
National Provider Identifier
1174769236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8406
- Practice address
- 13603 W Camino del Sol Ste E
Sun City West, AZ 85375-4483 - Phone
- (623) 584-1726
- NPI assigned
- Dec 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002399A | IN | |
| Chiropractor | 111N00000X | 8406 | AZ | Primary |
Addresses
Primary practice location
13603 W Camino del Sol Ste E
Sun City West, AZ 85375-4483
Mailing address
13603 W Camino del Sol Ste E
Sun City West, AZ 85375-4483
Phone (623) 584-1726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259520A | Other | IN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13603 W Camino del Sol
Suite E
Sun City West, AZ 85375-4483
Phone (623) 584-1726
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Advanced Medical | Current | Accepting new patients | |
| Integrity Family Wellness | Chiropractor | Current | Accepting new patients |
Locations
13603 W Camino del Sol
Ste E
Sun City West, AZ 85375
Phone (219) 256-9750
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 and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Sun City West, AZ
- NPI 1760262539
-
- Chiropractor
- Surprise, AZ
- NPI 1730562638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472860800000",
"number": "1174769236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13603 W CAMINO DEL SOL STE E",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853754483",
"telephone_number": "623-584-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13603 W CAMINO DEL SOL STE E",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853754483",
"telephone_number": "623-584-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGGERS",
"first_name": "SHENITA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2016-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002399A",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "259520A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.