Individual provider Active NPI

Shamonica Trunell, D.C.

  • Chiropractor
  • Waco, TX
National Provider Identifier
1336342948
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9664 Issued in TX
Practice address
6701 Sanger Ave Ste 104
Waco, TX 76710-7736
Phone
(254) 754-4000
Fax
(254) 754-4005
NPI assigned
Jun 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9664 TX Primary

Addresses

Primary practice location

6701 Sanger Ave Ste 104
Waco, TX 76710-7736

Mailing address

6701 Sanger Ave Ste 104
Waco, TX 76710-7736
Phone (254) 754-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000679 TX Practitioner - Chiropractic 9032177308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6701 Sanger Ave
Suite 104
Waco, TX 76710-7737
Phone (254) 754-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Chiropractic Clinic, PLLC Chiropractor CurrentSince Aug 25, 2011 Accepting new patients

Locations

501 E Main St
Ste A
Gatesville, TX 76528
Phone (254) 248-1335

6701 Sanger Ave
Ste 104
Waco, TX 76710
Phone (254) 644-2423

3500 Hillcrest Dr
Ste 8
Waco, TX 76708
Phone (254) 262-3506

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.

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1336342948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SANGER AVE STE 104",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107736",
            "telephone_number": "254-754-4000",
            "fax_number": "254-754-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SANGER AVE STE 104",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107736",
            "telephone_number": "254-754-4000",
            "fax_number": "254-754-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNELL",
        "first_name": "SHAMONICA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.