Active NPI
Shannon L Williams, AU.D.
- Audiologist-Hearing Aid Fitter
- Plano, TX
National Provider Identifier
1003077017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 51712
- Practice address
- 6509 W Plano Pkwy
Plano, TX 75093-8209 - Phone
- (972) 781-1462
- Fax
- (972) 378-4125
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 51712 | TX | Primary |
Addresses
Primary practice location
6509 W Plano Pkwy
Plano, TX 75093-8209
Mailing address
6509 W Plano Pkwy
Plano, TX 75093-8209
Phone (972) 781-1462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1470180 | Medicaid | LA |
Other names 1
- Ms. Shannon L Jette
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6509 W Plano Pkwy
Plano, TX 75093-8209
Phone (972) 781-1462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5312 | LA | MD | Professional Counselor |
| 51712 | TX | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Ear Nose and Throat Associates, PA | Current | Accepting new patients | |
| Metro Ear Nose and Throat Associates, PA | Current | Accepting new patients | |
| Huguley Medical Associates | Past | Accepting new patients |
Locations
900 Jerome St
Ste 200
Fort Worth, TX 76104
Phone (682) 268-6705
6509 W Plano Pkwy
Plano, TX 75093
Phone (800) 693-6732
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Plano, TX
- NPI 1184829707
-
- Specialist
- Fort Worth, TX
- NPI 1053545277
-
- General Practice Physician
- Burleson, TX
- NPI 1629290929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1003077017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6509 W PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750938209",
"telephone_number": "972-781-1462",
"fax_number": "972-378-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6509 W PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750938209",
"telephone_number": "972-781-1462",
"fax_number": "972-378-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHANNON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "51712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1470180",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "JETTE",
"middle_name": "L",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.