Active NPI
Paula Kay Sheedy, D.C.
- Chiropractor
- Davenport, IA
National Provider Identifier
1205974904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AO5346
- Practice address
- 3515 Spring St
Suite #3
Davenport, IA 52807-2100 - Phone
- (563) 359-6400
- Fax
- (563) 359-3543
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AO5346 | IA | Primary |
Addresses
Primary practice location
3515 Spring St
Suite #3
Davenport, IA 52807-2100
Mailing address
1122 W 51St St
Davenport, IA 52806-3703
Phone (563) 359-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051102 | Medicaid | IA | |
| 27140 | Other | IA | WELLMARK BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050118000291 | IA | Practitioner - Chiropractic | 3779532700 | Practice locations: Davenport, IA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3515 Spring St
Davenport, IA 52807-2100
Phone (563) 359-6400
3515 Spring St. 6
Davenport, IA 52807-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO5346 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205974904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 W 51ST ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528063703",
"telephone_number": "563-359-6400",
"fax_number": "563-359-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 SPRING ST",
"address_2": "SUITE #3",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072100",
"telephone_number": "563-359-6400",
"fax_number": "563-359-3543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEDY",
"first_name": "PAULA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "AO5346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0051102",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BLUE CROSS",
"identifier": "27140",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.