Teresa Jean Shumway, AU.D., CCC-A, FAAA

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

3950 Issued in SC

Practice address

3885 Renee Dr
Suite 102
Myrtle Beach, SC 29579-4372

Phone

(843) 903-0635

Fax

(843) 903-0636

NPI assigned

Feb 28, 2007

Last updated

Jan 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Forest Hearing Center, P.C.

  • Audiologist-Hearing Aid Fitter
  • Myrtle Beach, SC
  • NPI 1376814962
  Authorized official Same address or phone
• Carolina Forest Hearing Center of SC LLC

  • Hearing Instrument Specialist
  • Myrtle Beach, SC
  • NPI 1528823978
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1366579930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 RENEE DR",
            "address_2": "SUITE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794372",
            "telephone_number": "843-903-0635",
            "fax_number": "843-903-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 RENEE DR",
            "address_2": "SUITE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794372",
            "telephone_number": "843-903-0635",
            "fax_number": "843-903-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "TERESA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "999-1",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "SC",
            "license": "3950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiv Enterprise Group LLC (Grand Strand Comfort Care)
• Neal Shore, DR
• Shoreline Imaging Center
• Elainea Marie Shotwell
• Daniel Lloyd Shuler, MD
• Rima Siddiqui, M.D.
• Samia Joseph Sidrak, RPH
• Dena Siedenburg, RN
• Siegmund Eye Care PA
• Jason Siegmund, OD

• Audiologist-Hearing Aid Fitter in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Audiologist-Hearing Aid Fitter in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.