Active NPI
Cailin Marie Shanahan, AU.D.
- Audiologist
- Weymouth, MA
National Provider Identifier
1437671641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 14775
- Practice address
- 541 Main St
Weymouth, MA 02190-1868 - Phone
- (781) 216-3877
- NPI assigned
- Jul 10, 2017
- Last updated
- Sep 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4692 | MA | MD | Mental Health Counselor |
| 14775 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients |
Locations
13123 E 16th Ave
#B30
Aurora, CO 80045
Phone (720) 777-6800
Interoperability endpoints
- 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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
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.