Individual provider Active NPI

Alexandra C Shugarts, AUD

  • Audiologist
  • Philadelphia, PA
National Provider Identifier
1326561820
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006844 Issued in PA
Practice address
925 Chestnut St FL 6
Philadelphia, PA 19107-4204
Phone
(215) 955-6760
Fax
(215) 503-3736
NPI assigned
Jul 18, 2017
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist 231H00000X AT006844 PA Primary
Audiologist-Hearing Aid Fitter 237600000X 4143 SC

Addresses

Primary practice location

925 Chestnut St FL 6
Philadelphia, PA 19107-4204

Mailing address

925 Chestnut St FL 6
Philadelphia, PA 19107-4204
Phone (215) 955-6760

Other practice location 1

2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103

Other practice location 2

144 Concord Rd
Knoxville, TN 37934-2901
Phone (865) 777-1727

Other identifiers 2

IdentifierTypeStateIssuer
1844OtherTNAUDIOLOGY
AT006844OtherPAAUDIOLOGY PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102000895 PA Practitioner - Qualified Audiologist 8820361041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

925 Chestnut St
FL 6
Philadelphia, PA 19107-4204
Phone (215) 955-6760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians CurrentSince Sep 1, 2022 Accepting new patients
Merit Anesthesia PLLC CurrentSince Feb 17, 2020 Accepting new patients
Jefferson Radiation Oncology, LLC Past Accepting new patients

Locations

1650 Huntingdon Pike
Ste 255
Meadowbrook, PA 19046
Phone (215) 938-2055

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

144 Concord Rd
Knoxville, TN 37934
Phone (865) 293-4343

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1326561820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CHESTNUT ST FL 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074204",
            "telephone_number": "215-955-6760",
            "fax_number": "215-503-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CHESTNUT ST FL 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074204",
            "telephone_number": "215-955-6760",
            "fax_number": "215-503-3736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294147801",
            "country_code": "US",
            "telephone_number": "843-766-7103",
            "fax_number": "843-377-4629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Concord Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342901",
            "country_code": "US",
            "telephone_number": "865-777-1727",
            "fax_number": "865-966-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUGARTS",
        "first_name": "ALEXANDRA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006844",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "SC",
            "license": "4143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY",
            "identifier": "1844",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY PA",
            "identifier": "AT006844",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.