Shannon Dee Swink, AUD, PHD, CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

9093 Issued in NC

Practice address

3110 Wellons Blvd
New Bern, NC 28562-5247

Phone

(252) 638-2515

Fax

(252) 638-8538

NPI assigned

Jan 14, 2013

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Qualified Audiologist

Education

Brody School of Medicine at East Carolina University, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Carolina Ear, Nose and Throat-Head and Neck Surgery, IncGroup PAC ID 1850485020, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc

  • Specialist
  • Greenville, NC
  • NPI 1912957606
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1104163948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602522",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602522",
            "telephone_number": "252-638-2515",
            "fax_number": "252-638-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 WELLONS BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625247",
            "telephone_number": "252-638-2515",
            "fax_number": "252-638-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINK",
        "first_name": "SHANNON",
        "middle_name": "DEE",
        "credential": "AUD, PHD, CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "9093",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "9093",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "9093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Sutter
• Sandra K Sutton, MA CCC-SLP
• Robert T. Swadling, CP, CDA, BOCO
• Elizabeth E Swicegood, DDS
• Leanne Swickline, M.A., CCC-SLP
• Jennie Lamont Switzer, MA CCC-SLP
• William P Tally, DDS
• David Thomas Tayloe III, M.D.
• Ebonie Taylor-Dixon, LCSW-A
• Delia Taylor

• Audiologist in New Bern, NC
• Providers in New Bern, NC by specialty
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.