Shannon Lee Nierman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002640A Issued in IN

Practice address

6320 Constitution Dr
Fort Wayne, IN 46804-1518

Phone

(260) 432-7339

NPI assigned

Apr 18, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Allen County Chiropractic LLCGroup PAC ID 9638350754, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Allen County Chiropractic LLC

  • Nutrition Chiropractor
  • Fort Wayne, IN
  • NPI 1093017303
  Medicare reassignment Care Compare group NPD
• Raymond J McGeehan D C P a

  • Chiropractor
  • Port Richey, FL
  • NPI 1366617391
  NPD (past)

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

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1598081440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 SHAWNEE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071443",
            "telephone_number": "260-797-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041518",
            "telephone_number": "260-432-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERMAN",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-18",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002640A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Vaughn Nieman
• Melody Niemoth, MT-BC
• Nierman Chiropractic and Wellness LLC
• Morgan Alyssa Nierman, DMD
• Robert Nierman, DMD
• Kennedy Christine Nies, DO
• Bridgette Niese, RN
• Taylor Niese, LSW
• Judith A Niezer, RN
• Nightingale Hospice Care of Northern Indiana, Inc.

• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.