Shelli KS Carson, MS, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A#153 Issued in AR

Practice address

1970 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5135

Phone

(479) 443-6511

Fax

(479) 332-5029

NPI assigned

Feb 12, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT and Allergy Center, PAGroup PAC ID 4789662131, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.45 of 100Reported as group

Quality

89.4

Improvement activities

40

Cost

75.64

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• ENT and Allergy Center, PA

  • Specialist
  • Fayetteville, AR
  • NPI 1881690238
  Medicare reassignment Care Compare group NPD
• Allergy Care Center

  • Allergy & Immunology Physician
  • Fayetteville, AR
  • NPI 1407805468
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1407997265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035135",
            "telephone_number": "479-443-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035135",
            "telephone_number": "479-443-6511",
            "fax_number": "479-332-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 S 70th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035292",
            "country_code": "US",
            "telephone_number": "479-974-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "SHELLI",
        "middle_name": "KS",
        "credential": "MS, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "ASHA #01115396",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A#153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145761720",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "153",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Carrington
• Erin May Carroll, LPC
• Gabriel Carroll, D.C.
• Aaron Keith Carson, M.D.
• Haley Carson, BSW
• Carsten Counseling Services PLLC
• Amber D Carsten, LPC
• Jo Ann Carter Kaminsky, M.ED., LPC,ATR-BC
• Amanda Carter, CCC-SLP
• Angela Suzanne Carter, COTA

• Audiologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Audiologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.