Individual provider Active NPI

Cailin Marie Shanahan, AU.D.

  • Audiologist
  • Weymouth, MA
National Provider Identifier
1437671641
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
14775 Issued in NC
Practice address
541 Main St
Weymouth, MA 02190-1868
Phone
(781) 216-3877
NPI assigned
Jul 10, 2017
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4692 MA
Audiologist 231H00000X 14775 NC Primary

Addresses

Primary practice location

541 Main St
Weymouth, MA 02190-1868

Mailing address

11200 Governor Manly Way
Ste 301
Raleigh, NC 27614-7382
Phone (267) 614-6152

Other practice location 1

500 Faunce Corner Rd
North Dartmouth, MA 02747-1278
Phone (781) 216-3877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4692MAMDMental Health Counselor
14775NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients

Locations

13123 E 16th Ave
#B30
Aurora, CO 80045
Phone (720) 777-6800

Interoperability endpoints

  • Direct secure messaging: cshanahan257282@direct.childrenscolorado.org

Organizations & group practices 1

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1437671641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY",
            "address_2": "STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147382",
            "telephone_number": "267-614-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-216-3877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "027471278",
            "country_code": "US",
            "telephone_number": "781-216-3877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "CAILIN",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "4692",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "14775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.