Individual provider Active NPI

Shelley Heath, AU.D.

  • Audiologist
  • Richmond, KY
National Provider Identifier
1417486580
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
173079 Issued in KY
Practice address
1036 Amberley Way Ste a
Richmond, KY 40475-8979
Phone
(859) 623-4458
Fax
(859) 623-4459
NPI assigned
Jun 12, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 173079 KY Primary

Addresses

Primary practice location

1036 Amberley Way Ste a
Richmond, KY 40475-8979

Mailing address

1036 Amberley Way Ste a
Richmond, KY 40475-8979
Phone (859) 623-4458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170623000890 KY Practitioner - Qualified Audiologist 5597033191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluegrass Hearing Clinic, LLCGroup PAC ID 2961646864, 9 clinicians

Practice addresses (Care Compare)

103 Diagnostic Dr
Suite a
Frankfort, KY 40601-6560
Phone (502) 352-2468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hear at Your Service LLC Audiologist CurrentSince Jul 24, 2022 Accepting new patients
Central Kentucky Head & Neck Surgical Associates, PSC PastSince Jun 8, 2017 Accepting new patients

Locations

1036 Amberley Way
Ste A
Richmond, KY 40475
Phone (859) 623-4458

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417486580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 AMBERLEY WAY STE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758979",
            "telephone_number": "859-623-4458",
            "fax_number": "859-623-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 AMBERLEY WAY STE A",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758979",
            "telephone_number": "859-623-4458",
            "fax_number": "859-623-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "SHELLEY",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "173079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.