Shanna Camille Ketron, AU.D., CCC-A, FAAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

60512 Issued in TX

Practice address

343 W Houston St
Suite 409
San Antonio, TX 78205-2107

Phone

(210) 226-9166

Fax

(210) 226-9168

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1336369503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-226-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 409",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-226-9166",
            "fax_number": "210-226-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETRON",
        "first_name": "SHANNA",
        "middle_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A, FAAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "60512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna D Kesinger, RN
• Marc David Kessner, O.D.
• Amber Ketchum, RDN
• Vanaja Rani Kethireddy, M.D
• Elijah Ketron
• Barrett Ketter
• William Albert Ketterer, DO
• Kevin B. Browne, M.D. P.a.
• Kevin J. Whritenour Inc
• Kevin R. Higgins DPM PA

• Audiologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.