Individual provider Active NPI

Shea Kramer, D.C.

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1881982767
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TT60941893 Issued in WA
Practice address
4814 Interlake Ave N Ste C
Seattle, WA 98103-6772
Phone
(206) 652-4807
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11804 TX
Chiropractor 111N00000X TT60941893 WA Primary

Addresses

Primary practice location

4814 Interlake Ave N Ste C
Seattle, WA 98103-6772

Mailing address

18800 Preston Rd
Suite #307
Dallas, TX 75252-2449

Other practice location 1

18800 Preston Rd
Suite #307
Dallas, TX 75252-2449
Phone (937) 776-1517

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
11804TXMDChiropractor
TT60941893WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
JS Kramer PLLC Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1881982767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 PRESTON RD",
            "address_2": "SUITE #307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752522449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 INTERLAKE AVE N STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036772",
            "telephone_number": "206-652-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18800 Preston Rd",
            "address_2": "Suite #307",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752522449",
            "country_code": "US",
            "telephone_number": "937-776-1517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "SHEA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11804",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "TT60941893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.