Individual provider Active NPI

Shannon Rachelle Reif, D.C.

  • Chiropractor
  • Burlington, IA
National Provider Identifier
1932446101
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007541 Issued in IA
Practice address
825 N 6TH St
Burlington, IA 52601-4920
Phone
(319) 754-4671
Fax
(319) 754-7273
NPI assigned
Jan 8, 2013
Last updated
Jan 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007541 IA Primary

Addresses

Primary practice location

825 N 6TH St
Burlington, IA 52601-4920

Mailing address

825 N 6TH St
Burlington, IA 52601-4920
Phone (319) 754-4671

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000883 IA Practitioner - Chiropractic 7719127695 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007541IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
SRR,PLLC Chiropractor CurrentSince Jun 3, 2013 Accepting new patients

Locations

1240 S Main St
Burlington, IA 52601
Phone (319) 754-4671

825 N 6th St
Burlington, IA 52601
Phone (319) 754-4671

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, 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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1932446101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N 6TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014920",
            "telephone_number": "319-754-4671",
            "fax_number": "319-754-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N 6TH ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526014920",
            "telephone_number": "319-754-4671",
            "fax_number": "319-754-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIF",
        "first_name": "SHANNON",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.