Samantha S O'Leary, AUD.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1594 Issued in TN

Practice address

99 White Bridge Rd
Suite 106
Nashville, TN 37205-1448

Phone

(615) 354-8011

Fax

(615) 354-8013

NPI assigned

Jul 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Samantha L Shupe Former name

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 and National Provider Directory roles.

• Audiology Associates of Nashville LLC

  • Audiologist-Hearing Aid Fitter
  • Nashville, TN
  • NPI 1396881793
  NPD

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1396032496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WHITE BRIDGE RD",
            "address_2": "SUITE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051448",
            "telephone_number": "615-354-8011",
            "fax_number": "615-354-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WHITE BRIDGE RD",
            "address_2": "SUITE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051448",
            "telephone_number": "615-354-8011",
            "fax_number": "615-354-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "SAMANTHA",
        "middle_name": "S",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-09",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100181070",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUE SHIELD",
            "identifier": "4306078",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525679",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "SHUPE",
            "middle_name": "L",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Susan O'Hara, LCSW
• Douglas Donnan O'Keefe, SLP
• Ellen Blair O'Kelley, PNP, BC, APRN
• Allison O'Leary, PA-C
• Jared Martin O'Leary, M.D.
• Matthew Robert O'Malley, M.D.
• Cortney Latoya O'Neal, LPC-MHSP
• Fredrick O'Neal, PHARMD
• Latoya Jonnese O'Neal, MA
• Ryan L O'Neal, RPH, PHARM.D.

• Audiologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.