Shelby Atwill, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

030777 Issued in OR

Practice address

9955 SW Beaverton Hillsdale Hwy Ste 115
Beaverton, OR 97005-3228

Phone

(503) 567-2231

Fax

(888) 895-4828

NPI assigned

Sep 24, 2013

Last updated

Aug 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Griffin Center

  dba Griffin Center for Inspired Instruction

  • Hearing and Speech Clinic/Center
  • Beaverton, OR
  • NPI 1598235608
  NPD
• Tucker-Maxon Oral School

  • Audiologist
  • Portland, OR
  • NPI 1245407386
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1093141889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 N PORTSMOUTH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031935",
            "telephone_number": "503-360-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9955 SW BEAVERTON HILLSDALE HWY STE 115",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053228",
            "telephone_number": "503-567-2231",
            "fax_number": "888-895-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1871 NE Stephens St",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974701433",
            "country_code": "US",
            "telephone_number": "503-567-2231",
            "fax_number": "888-895-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2860 SE Holgate Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972023658",
            "country_code": "US",
            "telephone_number": "503-235-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATWILL",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "030777",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "030777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500689519",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Atack, DMD
• Ioanna G Athanasakis
• Athena Arris LLC
• Ezra Atikune, O.D.
• Atlantis Caregiving Corporation (Atlantis Caregiving)
• Kaitlin Hope Mengyin Atwood
• Jordan Nadine Denny Aul
• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Richard Lawrence Auran, MD
• Alyssa Aurisy, PMHNP

• Audiologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.