Active NPI
Shannon Michelle Brown, AUD
- Audiologist
- New Albany, IN
National Provider Identifier
1396914701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23002240A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200937300 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.34 of 100
- Quality
- 89.81
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23002240A | IN | MD | Audiologist |
| 0518 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merit Anesthesia PLLC | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
-
- Otolaryngic Allergy Physician
- New Albany, IN
- NPI 1669426755
-
- Otolaryngology Physician
- Carol Stream, IL
- NPI 1689732836
Otolaryngology
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.