Shelley Coughlin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002463A Issued in IN

Practice address

5680 Caito Dr Ste 105
Indianapolis, IN 46226-1367

Phone

(317) 495-9882

Fax

(317) 495-9883

NPI assigned

Sep 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

National University of Arts and Sciences, Medical Department, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Coughlin Chiropractic Inc

  • Chiropractor
  • Indianapolis, IN
  • NPI 1659687705
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1972837219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 CAITO DR STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261367",
            "telephone_number": "317-495-9882",
            "fax_number": "317-495-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 CAITO DR STE 105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261367",
            "telephone_number": "317-495-9882",
            "fax_number": "317-495-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002463A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Louis Couetil, PHD
• Megan Coughlan
• Coughlin Chiropractic Inc
• Elaine Kimberly Coughlin, PHARMD
• Megan Ashley Coughlin, M.D.
• Andrew M Cougill, MD
• Jennifer Cerven Cougill, PHARMD
• Madelyn Jo Cougill, RBT
• Stephen Cookson Cougill, DDS
• Alimatou Coulibaly

• Chiropractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.