Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366645061 Individual Practitioner Male Practitioner

Dr. Storm W Shannon , DC, ATC

Chiropractor • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Storm Shannon, DC, ATC is a registered healthcare professional specializing in Chiropractor in Jacksonville, FL. Practice services are available at 2080 CHILD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322146549

Telephone 9045427375
Associated Practice Facility / Clinic
🏢 Naval Hospital Jacksonville Facility NPI 1265411383

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
262 Specialists

Practicing in Jacksonville, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-05
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MO 2007014598

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Jose Dominguez , PT, OCS

Physical Therapist - Orthopedic

NPI 1053385559

Physical Therapist, Orthopedic Clinical Specialist

Kevin Fredenburg , PT

Physical Therapist

NPI 1093906869

Physical Therapist

Ryan Van Gorden , COTA, L

Occupational Therapy Assistant

NPI 1134940059

Certified Occupational Therapy Assistant, L

Mylyn Shelvy , PTA

Physical Therapy Assistant

NPI 1336946367

Physical Therapist Assistant

Theresa Poblete , PT

Physical Therapist

NPI 1386614998

Physical Therapist

Dr. Tara Dariano , DPT

Physical Therapist

NPI 1407012073

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 05, 2025

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322146549 (Tel: 9045427375)

📍
Updated Business Mailing Address March 05, 2025

Registered at 2547 CREEKFRONT DR, GREEN COVE SPRINGS, FL 320436221 (Tel: 9046576268)

NPI Profile Active September 07, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2007

Registered at 1730 E REPUBLIC RD, STE I, SPRINGFIELD, MO 658046549 (Tel: 4178779404)

📍
Updated Business Mailing Address September 07, 2007

Registered at 1730 E REPUBLIC RD, STE I, SPRINGFIELD, MO 658046549 (Tel: 4178779404)

👤
Provider Name / Credentials Updated September 07, 2007

Recorded as STORM SHANNON, D.C., A.T.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2007

Chiropractor (License #2007014598 in MO)

🟢
Initial NPI Registration & Enumeration June 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366645061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2007
Last Update: March 05, 2025
Sole Proprietor: No

Mailing Address

2547 Creekfront Dr

Green Cove Springs, FL 320436221

Phone: 9046576268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.