Carol A Shank

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2007018872 Issued in MO

Practice address

1830 Wentzville Pkwy
Wentzville, MO 63385-3817

Phone

(636) 327-4880

NPI assigned

Sep 7, 2012

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

Other names 1

• Carol A Reitzel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southwestern Hearing Aid Company

  • Audiologist-Hearing Aid Fitter
  • Saint Louis, MO
  • NPI 1851411078
  NPD (past)

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1154670990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HAMPTON VILLAGE PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092127",
            "telephone_number": "314-481-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853817",
            "telephone_number": "636-327-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "CAROL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2007018872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "REITZEL",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Edward Scott, PA
• Sara Nicole Scott, LCSW
• Kelly Seidel, PT
• Katie R Selvy
• Margaret Diane Shafer, PHARMD
• Shelly Best, LLC
• Brett Shelton, PT, DPT
• Carol Shipley, PHARMD, BS
• Joshua Shipley, PHARMD, BS
• Daniel Shipp

• Hearing Instrument Specialist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.