Shawna Lynn Jackson, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80242 Issued in TX

Practice address

700 University Blvd
Galveston, TX 77550-5552

Phone

(281) 338-0829

Fax

(281) 557-7284

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• University of Texas at Dallas

  • Audiologist
  • Dallas, TX
  • NPI 1770559973
  Medicare reassignment NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment NPD
• Hearing & Speech Center, Inc.

  • Audiologist-Hearing Aid Fitter
  • Keller, TX
  • NPI 1558584177
  NPD (past)
• University of Texas Medical Branch at Galveston

  • Community/Retail Pharmacy
  • Friendswood, TX
  • NPI 1699532861
  NPD (past)

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1104053354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357298",
            "telephone_number": "972-883-3010",
            "fax_number": "972-883-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775505552",
            "telephone_number": "281-338-0829",
            "fax_number": "281-557-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2895 Facilities Way",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750800034",
            "country_code": "US",
            "telephone_number": "972-883-3660",
            "fax_number": "972-883-3622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1966 Inwood Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357298",
            "country_code": "US",
            "telephone_number": "972-883-3000",
            "fax_number": "972-883-3068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHAWNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2010020706",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80242",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "2010020706",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samsudeen Oshoman Iyamah, MD
• J Thomas Carroll DDS PC
• Daniel Jabari, MD
• Charles Andrew Jackson
• Mark Monroe Jackson, MSW
• Victor S Jackson, MD
• Brent H Jaco, ATC, LAT, CSCS
• Marina Jacob, RN
• Shireen Mary Jacob, MD
• Sinju Jacob

• Audiologist in Galveston, TX
• Providers in Galveston, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.