Active NPI
Shann Rand, AU.D.
- Audiologist
- Gig Harbor, WA
National Provider Identifier
1114072428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00000965
- Practice address
- 3212 50TH Street CT NW Ste 105
Gig Harbor, WA 98335-8527 - Phone
- (253) 858-3277
- Fax
- (253) 858-6299
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LD00000965 | WA | Primary |
Addresses
Primary practice location
3212 50TH Street CT NW Ste 105
Gig Harbor, WA 98335-8527
Mailing address
3212 50TH Street CT NW Ste 105
Gig Harbor, WA 98335-8527
Phone (253) 858-3277
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RA5863 | Other | WA | REGENCE BLUE SHIELD |
| 0157117 | Other | WA | DEPARTMENT OF LABOR & IND |
| 5398207 | Other | WA | AETNA |
| 7040496 | Medicaid | WA | |
| CK5419 | Other | WA | RAILROAD MEDICARE |
| 96248 | Other | WA | HEAR PO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114072428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 50TH STREET CT NW STE 105",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983358527",
"telephone_number": "253-858-3277",
"fax_number": "253-858-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 50TH STREET CT NW STE 105",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983358527",
"telephone_number": "253-858-3277",
"fax_number": "253-858-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAND",
"first_name": "SHANN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00000965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "RA5863",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR & IND",
"identifier": "0157117",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5398207",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7040496",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK5419",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEAR PO",
"identifier": "96248",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
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.