Shannon Kathleen Christiansen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

098326 Issued in IA

Practice address

2108 Vine St
Davenport, IA 52804-2056

Phone

(563) 593-1454

NPI assigned

Sep 10, 2020

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

My Chiro LLCGroup PAC ID 9931355161, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• My Chiro, L.L.C.

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1366717894
  Medicare reassignment Care Compare group NPD
• Resolve Medical PLLC

  • General Practice Physician
  • Williamsburg, IA
  • NPI 1770425613
  NPD

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1316552052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 VINE ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528042056",
            "telephone_number": "563-593-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 VINE ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528042056",
            "telephone_number": "563-593-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "SHANNON",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "098326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Christ, PHARMD
• Patti Sue Christensen, LCSW, LISW
• Christian Retirement Homes, Inc. (Ridgecrest Village)
• Bradley Christiansen
• Margaret A Christiansen, AUD
• Christopher C. Friedl and Lauren E. Jensen Endodontics, PLLC (Endodontic Specialists of the Quad Cities, PLLC)
• Matthew C Christophersen, MD
• Carol Ann Chukwuka, ARNP
• Kassidee Church
• Ciaccio Medical, P.C.

• Chiropractor in Davenport, IA
• Providers in Davenport, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.