Individual provider Active NPI

Shannon Michelle Brown, AUD

  • Audiologist
  • New Albany, IN
National Provider Identifier
1396914701
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002240A Issued in IN
Practice address
108 W Daisy LN
New Albany, IN 47150-4537
Phone
(502) 893-0159
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0518 KY
Otolaryngology Physician 207Y00000X 0518 KY
Audiologist 231H00000X 23002240A IN Primary

Addresses

Primary practice location

108 W Daisy LN
New Albany, IN 47150-4537

Mailing address

2944 Breckenridge LN
Louisville, KY 40220-1409
Phone (502) 893-0159

Other identifiers 1

IdentifierTypeStateIssuer
200937300MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080916000627 IN Practitioner - Qualified Audiologist 9133296114 Reassigns benefits to 1 organization
I20110106000821 KY Practitioner - Qualified Audiologist 9133296114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
89.81
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23002240AINMDAudiologist
0518KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Anesthesia PLLC CurrentSince Nov 20, 2022 Accepting new patients
Commonwealth Ear Nose & Throat-Head & Neck Center Otolaryngology Past Accepting new patients
Ohio Valley ENT & Allergy LLC Past Accepting new patients

Locations

108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557

2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525

Organizations & group practices 4

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1396914701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-893-0159",
            "fax_number": "502-213-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W DAISY LN",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504537",
            "telephone_number": "502-893-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2022-11-15",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "0518",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "0518",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002240A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200937300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.