Active NPI
Shante Griggs, PHARMD, DN
- Naprapath
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naprapath
- License
- 181000392
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051292165 | IL | MD | Pharmacist |
| 01013 | NM | MD | Physical Medicine & Rehabilitation Physician |
| 181000392 | IL | MD | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago National College of Naprapathy, Inc. | Nutritionist | Current | Accepting new patients |
| Custom Healing and Wellness Ministries, NFP | Nutritionist | Current | 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.
-
dba National College of Naprapathic Medicine
- Naprapath
- Chicago, IL
- NPI 1346393568
Nutritionist
-
dba Dr Shante Rx
- Naprapath
- Chicago, IL
- NPI 1366119398
Nutritionist
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.