Individual provider Active NPI

Shannon M Van Hyfte, AUD

  • Audiologist
  • West Lafayette, IN
National Provider Identifier
1235231473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002356A Issued in IN
Practice address
500 Oval Drive
1353 Heavilon Hall
West Lafayette, IN 49707-2038
Phone
(765) 496-6570
Fax
(765) 494-0771
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002356A IN Primary

Addresses

Primary practice location

500 Oval Drive
1353 Heavilon Hall
West Lafayette, IN 49707-2038

Mailing address

601 Stadium Mall Drive
West Lafayette, IN 47907-2052
Phone (765) 496-1927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081219000504 IN Practitioner - Qualified Audiologist 7012079395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Purdue UniversityGroup PAC ID 2567373012, 28 clinicians

Practice addresses (Care Compare)

715 Clinic Dr
West Lafayette, IN 47907-2122
Phone (765) 494-3789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Purdue University CurrentSince Jul 18, 2020 Accepting new patients
Trustees of Purdue University CurrentSince Jul 18, 2020 Accepting new patients
Purdue University Past Accepting new patients

Locations

1281 Win Hentschel Blvd
Ste 1100
West Lafayette, IN 47906

715 Clinic Dr
West Lafayette, IN 47907
Phone (765) 494-3789

500 Oval Dr
#1353
West Lafayette, IN 47907
Phone (765) 494-0158

715 Clinic Dr
Rm 1042
West Lafayette, IN 47907
Phone (317) 880-7066

601 Stadium Mall Dr
West Lafayette, IN 47907
Phone (765) 494-1700

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235231473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 STADIUM MALL DRIVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072052",
            "telephone_number": "765-496-1927",
            "fax_number": "765-496-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OVAL DRIVE",
            "address_2": "1353 HEAVILON HALL",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "497072038",
            "telephone_number": "765-496-6570",
            "fax_number": "765-494-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HYFTE",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002356A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

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.
  • 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.