Active NPI
Shannon Kennard, D.C.
- Chiropractor
- Nevada City, CA
National Provider Identifier
1922553841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33569
- Practice address
- 18834 Rock Creek Rd
Nevada City, CA 95959-9492 - Phone
- (530) 575-2118
- NPI assigned
- Aug 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 33569 | CA | Primary |
Addresses
Primary practice location
18834 Rock Creek Rd
Nevada City, CA 95959-9492
Mailing address
PO Box 4
Nevada City, CA 95959-0004
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471651200000",
"number": "1922553841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959590004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18834 ROCK CREEK RD",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599492",
"telephone_number": "530-575-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNARD",
"first_name": "SHANNON",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-20",
"last_updated": "2016-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.