Shannon Robertson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4106 Issued in OR

Practice address

1413 Charnelton St
Eugene, OR 97401-3906

Phone

(541) 762-1755

NPI assigned

Apr 28, 2011

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 OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Asula Chiropractic and Wellness Center, Inc.Group PAC ID 0244407617, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Asula Chiropractic and Wellness Center, Inc.

  • Chiropractor
  • Portland, OR
  • NPI 1245474956
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1982995643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 NW MARSHALL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093295",
            "telephone_number": "503-719-5335",
            "fax_number": "503-719-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 CHARNELTON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013906",
            "telephone_number": "541-762-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SHANNON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendi Lou Roberts, LPC, CADC I
• Robertson Chiropractic
• Anna Augusta Robertson
• Barbara Jean Robertson, D.C.
• Scott Robertson, DPM
• Amber May Robeson, QMHA
• Jennifer Ann Robey, PA
• Sylvia Bertha Robinson Weisshaupt, P.M.H.N.P. PH.D. LLC
• Abigail Robinson
• Alisha Renee Robinson, LPN

• Chiropractor in Eugene, OR
• Providers in Eugene, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.