Active NPI
Shuangshuang Shi, AUD
- Audiologist
- Cinnaminson, NJ
National Provider Identifier
1346784253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00099200
- Practice address
- 1589 Jason Dr
Cinnaminson, NJ 08077-1557 - Phone
- (615) 345-5400
- NPI assigned
- Dec 12, 2016
- Last updated
- Dec 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006454 | PA | |
| Audiologist | 231H00000X | 41YA00099200 | NJ | Primary |
Addresses
Primary practice location
1589 Jason Dr
Cinnaminson, NJ 08077-1557
Mailing address
3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone (615) 345-5400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00099200 | NJ | MD | Audiologist |
| AT006454 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen R Lemme | Audiologist | Current | Accepting new patients |
Locations
613 Valley View Blvd
Altoona, PA 16602
Phone (814) 889-0310
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, 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": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1346784253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MARYLAND FARMS STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275780",
"telephone_number": "615-345-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1589 JASON DR",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080771557",
"telephone_number": "615-345-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "SHUANGSHUANG",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-12",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006454",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NJ",
"license": "41YA00099200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.