Jordan Shangreaux, MS, LAT, ATC
NPI 1104366475 · Athletic Trainer · Aberdeen, SD
Jordan Shangreaux, MS, LAT, ATC is a Athletic Trainer provider in Aberdeen, SD (NPI 1104366475).
Provider details
- NPI number
- 1104366475
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 0472 (SD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2019-12-20
- Certified
- 2019-12-20
Frequently asked questions
- What is Jordan Shangreaux's NPI number?
- Jordan Shangreaux's National Provider Identifier (NPI) is 1104366475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Shangreaux's specialty?
- Jordan Shangreaux is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jordan Shangreaux located?
- Jordan Shangreaux's practice location on file with NPPES is 2200 S Roosevelt St, Aberdeen, SD 57401.
- What is Jordan Shangreaux's phone number?
- The practice phone number listed in the NPPES registry for Jordan Shangreaux is (605) 280-4697.
- Is Jordan Shangreaux's NPI active?
- Yes — Jordan Shangreaux's NPI (1104366475) is active in the NPPES registry as of the last update on 2019-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.