Active NPI
Ane M Shull, CCC-A
- Audiologist
- Springboro, OH
National Provider Identifier
1396731311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.02561
- Practice address
- 668 N Main St
Springboro, OH 45066-9553 - Phone
- (513) 424-7006
- Fax
- (513) 785-4023
- NPI assigned
- Sep 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 50872 | TX | |
| Audiologist-Hearing Aid Fitter | 237600000X | A.02561 | OH | |
| Audiologist-Hearing Aid Fitter | 237600000X | 90561 | TX | |
| Audiologist | 231H00000X | A.02561 | OH | Primary |
Addresses
Primary practice location
668 N Main St
Springboro, OH 45066-9553
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-8025
Phone (630) 303-5380
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 |
|---|---|---|---|
| 90561 | TX | MD | Mental Health Counselor |
| A.02561 | OH | MD | Audiologist |
| 50872 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing, Inc. | Audiologist | Current | Accepting new patients |
Locations
750 N Commons Dr
Ste 200
Aurora, IL 60504
668 N Main St
Springboro, OH 45066
Phone (513) 424-7006
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1396731311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605048025",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 N MAIN ST",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669553",
"telephone_number": "513-424-7006",
"fax_number": "513-785-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULL",
"first_name": "ANE",
"middle_name": "M",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50872",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OH",
"license": "A.02561",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "90561",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.02561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.