Individual provider Active NPI

Brenda K Shelton, D.C.

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1225103385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2878 Issued in CO
Practice address
1112 Francis St
Longmont, CO 80501-3704
Phone
(303) 678-0266
Fax
(303) 678-0355
NPI assigned
Nov 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2878 CO Primary

Addresses

Primary practice location

1112 Francis St
Longmont, CO 80501-3704

Mailing address

1112 Francis St
Longmont, CO 80501-3704
Phone (303) 678-0266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000258 CO Practitioner - Chiropractic 7315122298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1112 Francis St
Longmont, CO 80501-3704
Phone (303) 678-0266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2878COMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Clinic P.C. Chiropractor CurrentSince Apr 13, 2011 Accepting new patients

Locations

1112 Francis St
Longmont, CO 80501
Phone (303) 678-0266

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225103385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 FRANCIS ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013704",
            "telephone_number": "303-678-0266",
            "fax_number": "303-678-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 FRANCIS ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013704",
            "telephone_number": "303-678-0266",
            "fax_number": "303-678-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "BRENDA",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

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.

Verify at the official NPI Registry.