Individual provider Active NPI

Candice Shaull

  • Hearing Instrument Specialist
  • Owosso, MI
National Provider Identifier
1306559240
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3502013214 Issued in MI
Practice address
218 N Park St
Owosso, MI 48867-3040
Phone
(989) 725-8114
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3502013214 MI Primary

Addresses

Primary practice location

218 N Park St
Owosso, MI 48867-3040

Mailing address

218 N Park St
Owosso, MI 48867-3040

Other practice location 1

231 W Lake Lansing Rd Ste 500
East Lansing, MI 48823-8473
Phone (517) 324-3278

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://bmg-pro.sycle.net Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
3502013214MIMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1306559240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N PARK ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488673040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N PARK ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488673040",
            "telephone_number": "989-725-8114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 W Lake Lansing Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488238473",
            "country_code": "US",
            "telephone_number": "517-324-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAULL",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3502013214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://bmg-pro.sycle.net",
            "affiliation": "N",
            "endpointDescription": "Sycle",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "218 N Park St",
            "city": "Owosso",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488673040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.