Individual provider Active NPI

Shannon Elisabeth Hunt, AUD, CCC-A

  • Audiologist
  • Joint Base Elmendorf-Richardson, AK
National Provider Identifier
1154311967
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1593 Issued in FL
Practice address
5955 Zeamer Avenue
673Rd Medical Group/SGHQ Dod-VA Joint Venture Hospital
Joint Base Elmendorf-Richardson, AK 99506
Phone
(907) 580-1035
NPI assigned
Oct 24, 2005
Last updated
Nov 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1593 FL Primary

Addresses

Primary practice location

5955 Zeamer Avenue
673Rd Medical Group/SGHQ Dod-VA Joint Venture Hospital
Joint Base Elmendorf-Richardson, AK 99506

Mailing address

5955 Zeamer Avenue
673Rd Medical Group/SGHQ Dod-VA Joint Venture Hospital
Joint Base Elmendorf-Richardson, AK 99506
Phone (907) 580-1035

Other identifiers 1

IdentifierTypeStateIssuer
1154311967OtherTRICARE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AY1593FLMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1154311967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVENUE",
            "address_2": "673RD MEDICAL GROUP/SGHQ DOD-VA JOINT VENTURE HOSPITAL",
            "city": "JOINT BASE ELMENDORF-RICHARDSON",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVENUE",
            "address_2": "673RD MEDICAL GROUP/SGHQ DOD-VA JOINT VENTURE HOSPITAL",
            "city": "JOINT BASE ELMENDORF-RICHARDSON",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "SHANNON",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1154311967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joint Base Elmendorf-Richardson, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.