Individual provider Active NPI

Miriam E. Harris-Shelton, AU.D.

  • Audiologist
  • Lexington, KY
National Provider Identifier
1255581104
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0489 Issued in KY
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

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
KY-0489OtherKYSTATE 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

OrganizationSpecialtyStatusNew patients
Commonwealth of Kentucky CurrentSince Jun 14, 2015 Accepting new patients
Commonwealth of Kentucky CurrentSince Jun 14, 2015 Accepting new patients
Merit Anesthesia PLLC CurrentSince Apr 1, 2020 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.

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.

Verify at the official NPI Registry.