Active NPI
Angela Marie Shelton, AUD., CCC-A
- Audiologist
- Barbourville, KY
National Provider Identifier
1295908762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0242
- Practice address
- 110 Johnson LN
Barbourville, KY 40906-1321 - Phone
- (606) 546-5109
- Fax
- (606) 546-4199
- NPI assigned
- Apr 7, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0242 | KY | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 1142 | TN | |
| Hearing Instrument Specialist | 237700000X | 621 | KY |
Addresses
Primary practice location
110 Johnson LN
Barbourville, KY 40906-1321
Mailing address
110 Johnson LN
Barbourville, KY 40906-1321
Phone (606) 546-5109
Other names 1
- Mrs. Angela Marie Burnette
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621 | KY | MD | Psychologist |
| 0242 | KY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commission for Children With Special Health Car | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- 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": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1295908762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 JOHNSON LN",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061321",
"telephone_number": "606-546-5109",
"fax_number": "606-546-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 JOHNSON LN",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409061321",
"telephone_number": "606-546-5109",
"fax_number": "606-546-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "ANGELA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "AUD., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0242",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TN",
"license": "1142",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KY",
"license": "621",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "BURNETTE",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "M.S CCC-A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.