Active NPI
Shannon Renae Walters, D.C.
- Chiropractor
- East Berlin, PA
National Provider Identifier
1326009119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006278L
- Practice address
- 121 W King St
East Berlin, PA 17316-9728 - Phone
- (717) 259-8056
- Fax
- (717) 259-6774
- NPI assigned
- Mar 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC006278L | PA | Primary |
Addresses
Primary practice location
121 W King St
East Berlin, PA 17316-9728
Mailing address
121 W King St
P.O. Box 763
East Berlin, PA 17316-9728
Phone (717) 259-8056
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273643 | Other | PA | MAMSI |
| 2226775 | Other | PA | UNITED HEALTHCARE |
| 5990505 | Other | PA | AETNA |
| 8661359001 | Other | PA | CIGNA |
| 0761669 | Other | PA | KEYSTONE HEALTH PLAN |
| 03086800 | Other | PA | CAPITAL BLUE CROSS |
| WA761669 | Other | PA | HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
121 W King St
East Berlin, PA 17316-9728
Phone (717) 259-8056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC006278L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walters Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- East Berlin, PA
- NPI 1235259714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1326009119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W KING ST",
"address_2": "P.O. BOX 763",
"city": "EAST BERLIN",
"state": "PA",
"postal_code": "173169728",
"telephone_number": "717-259-8056",
"fax_number": "717-259-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W KING ST",
"city": "EAST BERLIN",
"state": "PA",
"postal_code": "173169728",
"telephone_number": "717-259-8056",
"fax_number": "717-259-6774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "SHANNON",
"middle_name": "RENAE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006278L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "273643",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2226775",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5990505",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8661359001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN",
"identifier": "0761669",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03086800",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "WA761669",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Berlin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.