Individual provider Active NPI

Shirlene Harrison, D.C.

  • Chiropractor
  • Elko, NV
National Provider Identifier
1801803754
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-736 Issued in NV
Practice address
123 2ND St
Elko, NV 89801-3614
Phone
(775) 777-3033
Fax
(775) 777-3045
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B-736 NV Primary

Addresses

Primary practice location

123 2ND St
Elko, NV 89801-3614

Mailing address

123 2ND St
Elko, NV 89801-3614
Phone (775) 777-3033

Other names 1

  • Shirlene Ching Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130731000000 ID Practitioner - Chiropractic 8022094234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Idealspine Health CenterGroup PAC ID 6901041094, 2 clinicians

Practice addresses (Care Compare)

950 E Riverside Dr
Eagle, ID 83616-6020
Phone (208) 939-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B-736NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ruby Mountain Chiropractic Center, Inc. Chiropractor PastSince Apr 9, 2018 Accepting new patients

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1801803754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 2ND ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013614",
            "telephone_number": "775-777-3033",
            "fax_number": "775-777-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 2ND ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013614",
            "telephone_number": "775-777-3033",
            "fax_number": "775-777-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "SHIRLENE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLENE",
            "last_name": "CHING",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.