Individual provider Active NPI

Shane Lloyd Hunsaker, AUD

  • Audiologist
  • Twin Falls, ID
National Provider Identifier
1023189446
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD-3038 Issued in ID
Practice address
459 Locust St N Ste 110
Twin Falls, ID 83301-7324
Phone
(208) 734-8263
Fax
(208) 938-5306
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD-3038 ID Primary

Addresses

Primary practice location

459 Locust St N Ste 110
Twin Falls, ID 83301-7324

Mailing address

1209 N Summerbrook Ave Ste 100
Meridian, ID 83642-8750
Phone (208) 938-5823

Other identifiers 2

IdentifierTypeStateIssuer
120779200MedicaidWY
120779201MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD-3038IDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Otolaryngology, P.C. PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1023189446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N SUMMERBROOK AVE STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428750",
            "telephone_number": "208-938-5823",
            "fax_number": "208-938-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 LOCUST ST N STE 110",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017324",
            "telephone_number": "208-734-8263",
            "fax_number": "208-938-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNSAKER",
        "first_name": "SHANE",
        "middle_name": "LLOYD",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD-3038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120779200",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120779201",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.