Kourtne Kay Shanahan Powell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05972 Issued in IA

Practice address

1310 Tower Lane NE
Cedar Rapids, IA 52402-7488

Phone

(319) 366-2518

Fax

(319) 366-5002

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kourtne Kay Shanahan Professional name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powell Chiropractic Clinic PCGroup PAC ID 6709855380, 2 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.

• Powell Chiropractic Clinic, PC

  • Neurology Chiropractor
  • Cedar Rapids, IA
  • NPI 1083890982
  Medicare reassignment Care Compare group NPD
• Connections Family Therapy

  • Clinical Social Worker
  • Cedar Rapids, IA
  • NPI 1255625190
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1215154141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 TOWER LANE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027488",
            "telephone_number": "319-366-2518",
            "fax_number": "319-366-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 TOWER LANE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027488",
            "telephone_number": "319-366-2518",
            "fax_number": "319-366-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN POWELL",
        "first_name": "KOURTNE",
        "middle_name": "KAY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58048",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOURTNE",
            "last_name": "SHANAHAN",
            "middle_name": "KAY",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Syed Jawad Shah, M.D.
• Shalom Community Living LLC
• Dawn Shannon
• Sandra Shapiro, M.S. BCBA
• Anita Sharma
• Niyati Sharma, M.D.
• Christey Leigh Sharpshair, MSOM, L.AC

• Chiropractor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.