Individual provider Active NPI

Shante Griggs, PHARMD, DN

  • Naprapath
  • Chicago, IL
National Provider Identifier
1932413077
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
181000392 Issued in IL
Practice address
3330 N Milwaukee Ave
Chicago, IL 60641-4001
Phone
(773) 282-2686
Fax
(773) 282-2688
NPI assigned
Jul 30, 2010
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 181000392 IL
Nutrition Education Nutritionist 133NN1002X
Specialist 174400000X 181000392 IL
Pharmacist 183500000X 051292165 IL
Nutrition Support Pharmacist 1835N1003X 051292165 IL
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 01013 NM
Physical Medicine & Rehabilitation Physician 208100000X 01013 NM
Physical Medicine & Rehabilitation Physician 208100000X 181000392 IL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 181000392 IL
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 181000392 IL
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 181000392 IL
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 051292165 IL
Health Educator 174H00000X
Naprapath 172P00000X 01013 NM
Naprapath 172P00000X 181000392 IL Primary

Addresses

Primary practice location

3330 N Milwaukee Ave
Chicago, IL 60641-4001

Mailing address

320 E 21St St Unit 405
Chicago, IL 60616-4979
Phone (312) 872-7232

Other practice location 1

17 N Wabash Ave Ste 450
Chicago, IL 60602-4878
Phone (312) 872-7232

Other names 1

  • Dr. Shante Johnson Former name

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051292165ILMDPharmacist
01013NMMDPhysical Medicine & Rehabilitation Physician
181000392ILMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago National College of Naprapathy, Inc. Nutritionist CurrentSince Aug 29, 2021 Accepting new patients
Custom Healing and Wellness Ministries, NFP Nutritionist CurrentSince Aug 1, 2021 Accepting new patients

Locations

17 N Wabash Ave
Ste 450
Chicago, IL 60602
Phone (312) 285-2121

3330 N Milwaukee Ave
Chicago, IL 60641
Phone (773) 282-2686

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1932413077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 21ST ST UNIT 405",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164979",
            "telephone_number": "312-872-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414001",
            "telephone_number": "773-282-2686",
            "fax_number": "773-282-2688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 N Wabash Ave Ste 450",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606024878",
            "country_code": "US",
            "telephone_number": "312-872-7232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "SHANTE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, DN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "181000392",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "181000392",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292165",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "IL",
            "license": "051292165",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NM",
            "license": "01013",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "01013",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "181000392",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "181000392",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IL",
            "license": "181000392",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "IL",
            "license": "181000392",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IL",
            "license": "051292165",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "NM",
            "license": "01013",
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181000392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTE",
            "last_name": "JOHNSON",
            "prefix": "DR.",
            "credential": "PHARMD, DN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.