Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shannon Michiyo Rudolph, DC

Individual provider Chiropractor · NPI 1548313711

Dr. Shannon Michiyo Rudolph, DC is a Chiropractic in Gainesville, Florida. Graduated from Logan College of Chiropractic in 2004, 22 years ago. Practices with Chiropractic Solutions of Gainesville Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Trained at
Logan College of Chiropractic
Licensed in
FL
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4400 NW 23rd Ave
Gainesville, FL 32606-6580
Phone: (352) 371-4120
Fax: (352) 371-3378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH9069 (FL)

Record details

NPI number1548313711
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESFebruary 24, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2004 (22 years in practice)
Group practice Chiropractic Solutions Of Gainesville Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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