Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jordan Shangreaux, MS, LAT, ATC
Athletic Trainer in Aberdeen, SD · enumerated 2017.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104366475
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Registry record
Entity type Individual (Type 1)
Name Jordan Shangreaux
Credential MS, LAT, ATC
Sex Male
Practice address 2200 S Roosevelt St, Aberdeen, SD, 57401
Phone (605) 280-4697
Enumeration date Mar 6, 2017
Last updated in NPPES Dec 20, 2019
Taxonomy & licenses
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 0472 (SD) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1104366475 active?
Yes, as of the latest NPPES snapshot, NPI 1104366475 is active (record last updated 2019-12-20).
How do I verify Jordan Shangreaux's NPI record?
Cross-check NPI 1104366475 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-20.