Individual provider Active NPI

Gabrielle Shore, AUD

  • Audiologist
  • Fort Thomas, KY
National Provider Identifier
1285477646
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
40 N Grand Ave Ste 101
Fort Thomas, KY 41075-1765
Phone
(859) 781-4900
Fax
(859) 572-3039
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

40 N Grand Ave Ste 101
Fort Thomas, KY 41075-1765

Mailing address

40 N Grand Ave Ste 103
Fort Thomas, KY 41075-1765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240815001153 IN Practitioner - Qualified Audiologist 7012455520 Reassigns benefits to 1 organization
I20241001002896 KY Practitioner - Qualified Audiologist 7012455520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Cincinnati College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

368 Bielby Rd
Suite 140
Lawrenceburg, IN 47025-1067
Phone (859) 781-4900

40 N Grand Ave
Suite 101
Fort Thomas, KY 41075-1765
Phone (859) 781-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Neck Surgery Associates, PSC Audiologist CurrentSince Jun 8, 2024 Accepting new patients
Head and Neck Surgery Associates, PSC PastSince Jun 16, 2024 Accepting new patients

Locations

368 Bielby Rd
Ste 140
Lawrenceburg, IN 47025
Phone (812) 537-5510

7575 US Highway 42
Florence, KY 41042
Phone (606) 283-9100

40 N Grand Ave
Ste 101
Fort Thomas, KY 41075
Phone (859) 781-4900

40 N Grand Ave
Ste 103
Fort Thomas, KY 41075
Phone (859) 572-3031

Organizations & group practices 2

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1285477646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N GRAND AVE STE 103",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751765",
            "fax_number": "859-572-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N GRAND AVE STE 101",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751765",
            "telephone_number": "859-781-4900",
            "fax_number": "859-572-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "GABRIELLE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.