Individual provider Active NPI

Shaina Nichole Nolley, DC, ACN, FMACP

  • Chiropractor
  • Austin, TX
National Provider Identifier
1760120034
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15234 Issued in TX
Practice address
5501 N Lamar Blvd Ste
C111
Austin, TX 78751
Phone
(512) 200-2077
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36247 CA
Chiropractor 111N00000X 15234 TX Primary

Addresses

Primary practice location

5501 N Lamar Blvd Ste
C111
Austin, TX 78751

Mailing address

9901 Brodie LN
Suite 160 Pmb909
Austin, TX 78748
Phone (812) 252-9280

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15234TXMDProfessional Counselor
36247CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caim Chiropractic LLC CurrentSince Sep 24, 2023 Accepting new patients
Casey Chiropractic Inc. Chiropractor PastSince May 1, 2022 Accepting new patients

Locations

5501 N Lamar Blvd
Ste C111
Austin, TX 78751
Phone (512) 200-2077

9901 Brodie Ln
Ste 160
Austin, TX 78748

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1760120034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 BRODIE LN",
            "address_2": "SUITE 160 PMB909",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "812-252-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N LAMAR BLVD STE",
            "address_2": "C111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78751",
            "telephone_number": "512-200-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLEY",
        "first_name": "SHAINA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "DC, ACN, FMACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36247",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.