Organization Active NPI

Columbia Basin Hearing Center LLC

  • Audiologist
  • Kennewick, WA
National Provider Identifier
1144356742
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
COLUMBIA BASIN HEARING CENTER LLC
Practice address
4015 W Clearwater Ave
Kennewick, WA 99336-5028
Phone
(509) 736-4005
Fax
(509) 737-9525
NPI assigned
Feb 26, 2007
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Dr. Shannon Marie, AU.D.NPI 1043475585
Title
Owner
Phone
(509) 736-4005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU
Hearing Aid Equipment 332S00000X NU
Audiologist 231H00000X NU Primary
Audiologist-Hearing Aid Fitter 237600000X 099146 WA

Addresses

Primary practice location

4015 W Clearwater Ave
Kennewick, WA 99336-5028

Mailing address

4015 W Clearwater Ave
Kennewick, WA 99336-5028
Phone (509) 736-4005

Other practice location 1

300 S 2nd Ave
Walla Walla, WA 99362-3035
Phone (509) 876-4541

Other identifiers 1

IdentifierTypeStateIssuer
132545OtherWALABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230823000900 WA Part B Supplier - Clinic/Group Practice 3375906423 Receives reassigned benefits from 4 practitioners
Practice locations: Kennewick, WA; Walla Walla, WA

National Provider Directory

National Provider Directory

Locations

1149 N Edison St
Ste D
Kennewick, WA 99336
Phone (509) 736-4005

713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931

718 Franklin Ave
Sunnyside, WA 98944
Phone (509) 836-2194

300 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 876-4541

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1144356742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365028",
            "telephone_number": "509-736-4005",
            "fax_number": "509-737-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365028",
            "telephone_number": "509-736-4005",
            "fax_number": "509-737-9525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993623035",
            "country_code": "US",
            "telephone_number": "509-876-4541",
            "fax_number": "509-525-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBIA BASIN HEARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "MARIE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-736-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "099146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "132545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.