Active NPI
Shawna Hogan, D.C.
- Chiropractor
- Destin, FL
National Provider Identifier
1497781280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8365
- Practice address
- 4481 Legendary Dr
Destin, FL 32541-5381 - Phone
- (850) 424-7856
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8365 | FL | Primary |
Addresses
Primary practice location
4481 Legendary Dr
Destin, FL 32541-5381
Mailing address
5953 Commerce Rd
Milton, FL 32583-2320
Phone (850) 748-6102
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64135 | Other | FL | BLUE CROSS/ BLUE SHIELD |
| 695781 | Other | FL | UNITED HEALTHCARE |
| 382003300 | Medicaid | FL | |
| 7508735 | Other | FL | AETNA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1497781280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5953 COMMERCE RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325832320",
"telephone_number": "850-748-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4481 LEGENDARY DR",
"city": "DESTIN",
"state": "FL",
"postal_code": "325415381",
"telephone_number": "850-424-7856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "SHAWNA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "64135",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "695781",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "382003300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7508735",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.