Individual provider Active NPI

Shannan Chanel Girdy, DC

  • Chiropractor
  • Corpus Christi, TX
National Provider Identifier
1407414915
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14108 Issued in TX
Practice address
6326 Yorktown Blvd Ste 7
Corpus Christi, TX 78414-5861
Phone
(361) 737-4222
NPI assigned
May 30, 2019
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14108 TX Primary

Addresses

Primary practice location

6326 Yorktown Blvd Ste 7
Corpus Christi, TX 78414-5861

Mailing address

6326 Yorktown Blvd Ste 7
Corpus Christi, TX 78414-5861
Phone (361) 737-4222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818000053 TX Practitioner - Chiropractic 3971984378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacquelyn F Cole DC PCGroup PAC ID 4880739341, 2 clinicians

Practice addresses (Care Compare)

2025 Flour Bluff Dr
Corpus Christi, TX 78418-5309
Phone (361) 937-1215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jacquelyn F. Cole, DC, PC Chiropractor CurrentSince Mar 2, 2026 Accepting new patients

Locations

2025 Flour Bluff Dr
Corpus Christi, TX 78418
Phone (361) 937-1215

Organizations & group practices 2

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1407414915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 YORKTOWN BLVD STE 7",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784145861",
            "telephone_number": "361-737-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 YORKTOWN BLVD STE 7",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784145861",
            "telephone_number": "361-737-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRDY",
        "first_name": "SHANNAN",
        "middle_name": "CHANEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.