Active NPI
Shauna Myers, DC
- Chiropractor
- Williamsport, PA
National Provider Identifier
1659746733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011098
- Practice address
- 1355 Four Mile Dr
Williamsport, PA 17701-1932 - Phone
- (570) 322-1776
- Fax
- (570) 322-1774
- NPI assigned
- Dec 1, 2015
- 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 | DC011098 | PA | Primary |
Addresses
Primary practice location
1355 Four Mile Dr
Williamsport, PA 17701-1932
Mailing address
2129 Webb St
Williamsport, PA 17701-5521
Phone (717) 364-5925
Other practice location 1
2129 Webb St
Williamsport, PA 17701-5521
Phone (717) 364-5925
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030675070001 | Medicaid | PA | |
| DC011098 | Other | PA | DOCTORATE LICENSE |
Other names 1
- Shauna Deschenes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1355 Four Mile Dr
Williamsport, PA 17701-1932
Phone (570) 322-1776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC011098 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamsport Wellness Center Inc. | Chiropractor | Current | Accepting new patients |
Locations
1355 Four Mile Dr
Williamsport, PA 17701
Phone (570) 322-1776
Organizations & group practices 1
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.
-
- Chiropractor
- Williamsport, PA
- NPI 1205584232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1659746733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 WEBB ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177015521",
"telephone_number": "717-364-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 FOUR MILE DR",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011932",
"telephone_number": "570-322-1776",
"fax_number": "570-322-1774"
}
],
"practiceLocations": [
{
"address_1": "2129 Webb St",
"address_purpose": "LOCATION",
"city": "Williamsport",
"state": "PA",
"postal_code": "177015521",
"country_code": "US",
"telephone_number": "717-364-5925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "SHAUNA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-01",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030675070001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTORATE LICENSE",
"identifier": "DC011098",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAUNA",
"last_name": "DESCHENES",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.