Shannon K Kimmel

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A0000001210 Issued in TN

Practice address

7600 Wolf River Blvd
Suite 120
Germantown, TN 38138-1785

Phone

(901) 755-5300

Fax

(901) 682-1362

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-South Ear Nose and Throat PCGroup PAC ID 3779568092, 32 clinicians

Practice addresses (Care Compare)

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.

• Mid-South Ear, Nose, and Throat, P.C.

  • Otolaryngology Physician
  • Germantown, TN
  • NPI 1689780066
  Medicare reassignment Care Compare group NPD
• North Internal Medicine, P. C.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1518982008
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1104090463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 CENTERVIEW PKWY",
            "address_2": "SUITE 202",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184228",
            "telephone_number": "901-755-5300",
            "fax_number": "901-753-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 WOLF RIVER BLVD",
            "address_2": "SUITE 120",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381785",
            "telephone_number": "901-755-5300",
            "fax_number": "901-682-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "SHANNON",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A0000001210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marcy Kiihnl
• Chelsea Jean Kile, AU.D.
• Noah B Kimball, M.D.
• Brennan Wheeler Kimberlin, FNP-BC
• David M Kimler, DDS
• James Mitchell King
• Nikolaus Perry King, AGACNP-BC
• Shuronda L King, CRNA
• David Thomas Kizer, D.D.S.
• William J Klein, MD

• Audiologist in Germantown, TN
• Providers in Germantown, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.

Verify at the official NPI Registry.