Individual provider Active NPI

Shannon Marie Flynn, AU.D.

  • Audiologist
  • Washington, MO
National Provider Identifier
1225849060
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2025011352 Issued in MO
Practice address
901 Patients First Dr Ste 3500
Washington, MO 63090-4700
Phone
(636) 266-7850
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2248 TN
Audiologist 231H00000X 2025011352 MO Primary

Addresses

Primary practice location

901 Patients First Dr Ste 3500
Washington, MO 63090-4700

Mailing address

3539 Brookstone South Dr
Saint Louis, MO 63129-2964

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602002299 MO Practitioner - Qualified Audiologist 7517476534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospitals East CommunitiesGroup PAC ID 3779479019, 29 clinicians

Practice addresses (Care Compare)

901 Patients 1St Dr
Suite 3500
Washington, MO 63090-4700
Phone (636) 390-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025011352MOMDAudiologist
2248TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Jun 2, 2025 Accepting new patients
Mercy Hospital South CurrentSince Jun 2, 2025 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jun 2, 2025 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jun 2, 2025 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jun 2, 2025 Accepting new patients
Mercy Hospital South CurrentSince Jun 2, 2025 Accepting new patients

Locations

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

607 S New Ballas Rd
Ste T2170
Saint Louis, MO 63141
Phone (314) 251-4235

10004 Kennerly Rd
Ste 205A
Saint Louis, MO 63128
Phone (314) 525-4327

901 Patients First Dr
Ste 3500
Washington, MO 63090
Phone (636) 390-1570

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1225849060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 BROOKSTONE SOUTH DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631292964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR STE 3500",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-266-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2248",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2025011352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.