Active NPI
Miriam E. Harris-Shelton, AU.D.
- Audiologist
- Lexington, KY
National Provider Identifier
1255581104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0489
- Practice address
- 1720 Nicholasville Rd
Suite 500
Lexington, KY 40503-1404 - Phone
- (859) 278-1114
- Fax
- (859) 278-3774
- NPI assigned
- Sep 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0489 | KY | Primary |
Addresses
Primary practice location
1720 Nicholasville Rd
Suite 500
Lexington, KY 40503-1404
Mailing address
7411 Gatewood Dr
Crestwood, KY 40014-9034
Phone (502) 552-7463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KY-0489 | Other | KY | STATE LICENSE |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth of Kentucky | Current | Accepting new patients | |
| Commonwealth of Kentucky | Current | Accepting new patients | |
| Merit Anesthesia PLLC | Current | Accepting new patients | |
| Commission for Children With Special Health Car | Past | Accepting new patients |
Locations
108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557
1800 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-2301
2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Radcliff, KY
- NPI 1043686900
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1114346467
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
-
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1831197953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1255581104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 GATEWOOD DR",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400149034",
"telephone_number": "502-552-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 NICHOLASVILLE RD",
"address_2": "SUITE 500",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031404",
"telephone_number": "859-278-1114",
"fax_number": "859-278-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS-SHELTON",
"first_name": "MIRIAM",
"middle_name": "E.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-29",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "KY-0489",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.