Pamela D Shackley

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3827 Issued in FL

Practice address

1217 S East Ave
Suite 207
Sarasota, FL 34239-2344

Phone

(941) 955-6080

Fax

(941) 957-1142

NPI assigned

Aug 1, 2006

Last updated

Feb 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr Pamela Shackley DC PA

  dba Advanced Chiropractic Center

  • Chiropractor
  • Sarasota, FL
  • NPI 1972732857
  Authorized official Same address or phone

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1568478246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S EAST AVE",
            "address_2": "SUITE 207",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392344",
            "telephone_number": "941-955-6080",
            "fax_number": "941-957-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S EAST AVE",
            "address_2": "SUITE 207",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392344",
            "telephone_number": "941-955-6080",
            "fax_number": "941-957-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKLEY",
        "first_name": "PAMELA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "3827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382005000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher R. Sforzo, M.D.
• Melinda Sganga, PT
• SH Heron Club, LLC (Heron Club)
• SH Heron East, LLC (Heron East)
• SH Heron House, LLC (Heron House)
• Shadrick Kralik MD PA
• Dana Shaevitch, CGC
• Alexa Shaffer
• Timothy D. Shafman, MD
• Barbara Epstein Shagrin, PH.D.

• Chiropractor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.