NPIMap

Individual provider Active NPI

Shauna Marie Birdsall, N.D.

  • Naturopath
  • Anchorage, AK
National Provider Identifier
1467604751
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
151349 Issued in AK
Practice address
915 W Northern Lights Blvd
Anchorage, AK 99503-2408
Phone
(907) 770-6700
Fax
(079) 770-6707
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT00001350 WA
Naturopath 175F00000X 08-1092 AZ
Naturopath 175F00000X ND1055 CA
Naturopath 175F00000X 151349 AK Primary

Addresses

Primary practice location

915 W Northern Lights Blvd
Anchorage, AK 99503-2408

Mailing address

8505 Skyhills Dr
Anchorage, AK 99502-3993
Phone (847) 774-8414

Other names 1

  • Shauna Marie Rey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
151349AKMDNaturopath
08-1092AZMDNaturopath
ND1055CAMDNaturopath
NT00001350WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Avante Medical Center, LLC Naturopath PastSince Nov 26, 2023 Accepting new patients
RBS Evolution of Alaska LLC Naturopath Past Accepting new patients
RBS Evolution of Juneau LLC Past Accepting new patients
Anchorage Associates in Radiation Medicine, LL Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9026/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1467604751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 SKYHILLS DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995023993",
            "telephone_number": "847-774-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032408",
            "telephone_number": "907-770-6700",
            "fax_number": "079-770-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSALL",
        "first_name": "SHAUNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2023-11-24",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001350",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "08-1092",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1055",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AK",
            "license": "151349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNA",
            "last_name": "REY",
            "middle_name": "MARIE",
            "credential": "N.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.