Organization Active NPI

Delanie Shea LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1699477034
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DELANIE SHEA LLC
Practice address
4100 W Kennedy Blvd Ste 335
Tampa, FL 33609-2257
Phone
(570) 460-9695
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Dr. Delanie Shea, DCNPI 1619556768
Title
Account Manager
Phone
(570) 460-9695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4100 W Kennedy Blvd Ste 335
Tampa, FL 33609-2257

Mailing address

15819 Starling Crossing Dr
Lithia, FL 33547-3974
Phone (570) 460-9695

Other names 1

  • Back Bay Chiropractic & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

4100 W Kennedy Blvd
Ste 335
Tampa, FL 33609
Phone (570) 460-9695

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1699477034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15819 STARLING CROSSING DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473974",
            "telephone_number": "570-460-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W KENNEDY BLVD STE 335",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092257",
            "telephone_number": "570-460-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELANIE SHEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "DELANIE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "570-460-9695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Bay Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.