Individual provider Active NPI

Shellie Marie Norton, AU.D

  • Audiologist
  • American Fork, UT
National Provider Identifier
1417490079
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7507776-4101 Issued in UT
Practice address
1175 E 50 S
211
American Fork, UT 84003-2845
Phone
(801) 418-0874
Fax
(801) 418-0871
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7507776-4101 UT Primary

Addresses

Primary practice location

1175 E 50 S
211
American Fork, UT 84003-2845

Mailing address

1055 North 500 West
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Other practice location 1

2230 N University Pkwy Ste 9B
Provo, UT 84604-6717
Phone (801) 354-8225

Other practice location 2

700 W 800 N Ste 400
Orem, UT 84057-6305
Phone (801) 465-4805

Other practice location 3

39 Professional Way Ste 1
Payson, UT 84651-1676
Phone (801) 354-8225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreview@reverehealth.com Revere Health PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180816002672 UT Practitioner - Qualified Audiologist 6406105949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Utah School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

1175 E 50
Suite 211
American Fork, UT 84003-2845
Phone (801) 418-0807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7507776-4101UTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Jun 20, 2018 Accepting new patients
Revere Health PC CurrentSince Jun 20, 2018 Accepting new patients

Locations

1175 E 50 S
Ste 211
American Fork, UT 84003
Phone (801) 418-0807

1175 E 50 S
#211
American Fork, UT 84003
Phone (801) 418-0870

700 W 800 N
Ste 400
Orem, UT 84057
Phone (801) 221-8811

39 Professional Way
Ste 1
Payson, UT 84651
Phone (801) 465-4481

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

2230 N University Pkwy
Ste 9B
Provo, UT 84604
Phone (801) 375-3175

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

Interoperability endpoints

  • Direct secure messaging: shellienorton@cuccu.allscriptsdirect.net

Organizations & group practices 2

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": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1417490079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 NORTH 500 WEST",
            "address_2": "ATTN: CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E 50 S",
            "address_2": "211",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032845",
            "telephone_number": "801-418-0874",
            "fax_number": "801-418-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 N University Pkwy Ste 9B",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846046717",
            "country_code": "US",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W 800 N Ste 400",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840576305",
            "country_code": "US",
            "telephone_number": "801-465-4805",
            "fax_number": "801-418-0871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Professional Way Ste 1",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846511676",
            "country_code": "US",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTON",
        "first_name": "SHELLIE",
        "middle_name": "MARIE",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "7507776-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Revere Health PC",
            "address_1": "1175 E 50 S",
            "address_2": "211",
            "city": "American Fork",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840032845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.