Active NPI
Glenn Shinner, AU.D.
- Audiologist
- Northampton, MA
National Provider Identifier
1083757900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 193
- Practice address
- 241 King St Ste 119
Hampshire Hearing Services
Northampton, MA 01060-2341 - Phone
- (413) 586-9572
- Fax
- (413) 582-7923
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 231H00000X | 193 | MA | Primary |
Addresses
Primary practice location
241 King St Ste 119
Hampshire Hearing Services
Northampton, MA 01060-2341
Mailing address
241 King St Ste 119
Hampshire Hearing Services
Northampton, MA 01060-2341
Phone (413) 586-9572
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19923 | Other | MA | HEALTH NEW ENGLAND |
| 793123 | Other | MA | TUFTS HEALTH PLAN |
| 19918 | Other | MA | HARVARD PILGRIM HEALTH PL |
| 701242 | Other | MA | CONNECTICARE |
| AD 0010 | Other | MA | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 193 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampshire Hearing Services, LLC | Past | 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.
-
- Hearing and Speech Clinic/Center
- Northampton, MA
- NPI 1174827257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083757900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 KING ST STE 119",
"address_2": "HAMPSHIRE HEARING SERVICES",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602341",
"telephone_number": "413-586-9572",
"fax_number": "413-582-7923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 KING ST STE 119",
"address_2": "HAMPSHIRE HEARING SERVICES",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602341",
"telephone_number": "413-586-9572",
"fax_number": "413-582-7923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINNER",
"first_name": "GLENN",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "19923",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "793123",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH PL",
"identifier": "19918",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "701242",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AD 0010",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.