Shannon Rachael Schueren, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

60989179 Issued in WA

Practice address

15021 Main St Ste K
Mill Creek, WA 98012-1651

Phone

(800) 404-6050

Fax

(866) 313-3397

NPI assigned

Dec 10, 2019

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shannon Rachael Romeis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shannon.schueren.1@19198.direct.athenahealth.com

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.

• Blackburn Clinic, Inc. PS

  dba Rebound

  • Sports Physician Chiropractor
  • Kent, WA
  • NPI 1083899066
  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1477190304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700688",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782700688",
            "telephone_number": "866-838-3330",
            "fax_number": "210-468-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15021 MAIN ST STE K",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121651",
            "telephone_number": "800-404-6050",
            "fax_number": "866-313-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUEREN",
        "first_name": "SHANNON",
        "middle_name": "RACHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60989179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "CH60989179",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "ROMEIS",
            "middle_name": "RACHAEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Terumi Schaefer
• Dana R Scharfenberg, FNP-BC
• Jennifer E Schauer, ARNP
• Melody Schenck, LMP
• Dieter Kurt Thomas Schmidt, MD
• Gretchen Schuetter, LMP
• John Francis Schulze
• Vicki A Schwartz, BS, PT
• Kimberly Schwittay
• Seattle Christian Counseling

• Chiropractor in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.