DR. SHANNON RENAE WALTERS D.C. NPI 1326009119

NPI Information

  • NPI: 1326009119
  • Provider Name: DR. SHANNON RENAE WALTERS, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 121 W KING ST
    EAST BERLIN, PA
    ZIP 17316
  • Phone: (717) 259-8056

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NPI Details

DR. Shannon Renae Walters, D.C. is a chiropractor in East Berlin, PA with 30 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Shannon Renae Walters, D.C. NPI is 1326009119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduation Year:1995

The provider's business location address is:

121 W KING ST
EAST BERLIN, PA
ZIP 17316-728
Phone: (717) 259-8056
Fax: (717) 259-6774

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)
  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 3/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorDC006278LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18661359001OTHERPENNSYLVANIACIGNA
2U61397MEDICARE UPINPENNSYLVANIA
30761669OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN
42226775OTHERPENNSYLVANIAUNITED HEALTHCARE
5WA761669OTHERPENNSYLVANIAHIGHMARK
603086800OTHERPENNSYLVANIACAPITAL BLUE CROSS
7273643OTHERPENNSYLVANIAMAMSI
8WA815775MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
95990505OTHERPENNSYLVANIAAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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