Gaertner Chiropractic & Integrated Medicine Clinic PA

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CHIA829 Issued in ID

Legal business name

GAERTNER CHIROPRACTIC & INTEGRATED MEDICINE CLINIC PA

Practice address

217 W Georgia Ave Ste 120
Nampa, ID 83686-6812

Phone

(208) 467-5994

Fax

(208) 467-5127

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shannon D Gaertner-Ewing, D.C.NPI 1093718702

Title

President

Phone

(208) 467-5994

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Dee Gaertner-Ewing, DC

  • Nutrition Chiropractor
  • Nampa, ID
  • NPI 1093718702
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1356358204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 7TH AVE S",
            "address_2": "PO BOX 3306",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513848",
            "telephone_number": "208-467-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W GEORGIA AVE STE 120",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866812",
            "telephone_number": "208-467-5994",
            "fax_number": "208-467-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAERTNER CHIROPRACTIC & INTEGRATED MEDICINE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "GAERTNER-EWING",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-467-5994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "ID",
            "license": "CHIA829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda R. Fulton, LMSW
• Functional Medicine Center of Boise LLC
• Patricia J Funkhouser, DNP
• Melissa E Funston, LPC, CADC
• Aaron Gabrielsen, HIS
• Shannon Dee Gaertner-Ewing, DC
• Morgan Gailey
• Dylan Chantz Gallegos, DO
• Kindra Galloway
• Tristan Galloway, DDS

• Nutrition Chiropractor in Nampa, ID
• Providers in Nampa, ID by specialty
• Nutrition Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.