Active NPI
Judith Orrill Shea, AU.D.
- Audiologist
- Cheshire, CT
National Provider Identifier
1467419234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000152
- Practice address
- 415 Highland Ave
Suite 2
Cheshire, CT 06410-2563 - Phone
- (203) 272-4512
- Fax
- (203) 272-4517
- NPI assigned
- Apr 27, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000152 | CT | Primary |
| Speech-Language Pathologist | 235Z00000X | 000707 | CT | |
| Audiologist-Hearing Aid Fitter | 237600000X | 000152 | CT |
Addresses
Primary practice location
415 Highland Ave
Suite 2
Cheshire, CT 06410-2563
Mailing address
415 Highland Ave
Suite 2
Cheshire, CT 06410-2563
Phone (203) 272-4512
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2928474 | Other | CT | OXFORD |
| 660000707CT02 | Other | CT | SPEECH PATHOLOGY |
| 3272905 | Other | CT | AETNA |
| 730000152CT03 | Other | CT | AUDIOLOGY |
| 004236734 | Medicaid | CT | |
| 0121288 | Other | CT | CIGNA |
| 2V6948 | Other | CT | HEALTHNET |
| 004070637 | Medicaid | CT | |
| 152000 | Other | CT | CONNECTICARE |
Other names 1
- Miss Judith Ann Orrill
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 |
|---|---|---|---|
| 000152 | CT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahlbin Centers for Rehabilitation Medicine | Audiologist | Past | Accepting new patients |
| Bridgeport Hospital | Past | Accepting new patients |
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.
-
- Audiologist
- Bridgeport, CT
- NPI 1356494785
-
- General Acute Care Hospital
- Milford, CT
- NPI 1891376810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1467419234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 HIGHLAND AVE",
"address_2": "SUITE 2",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102563",
"telephone_number": "203-272-4512",
"fax_number": "203-272-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 HIGHLAND AVE",
"address_2": "SUITE 2",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064102563",
"telephone_number": "203-272-4512",
"fax_number": "203-272-4517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "JUDITH",
"middle_name": "ORRILL",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000152",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "000707",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CT",
"license": "000152",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2928474",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGY",
"identifier": "660000707CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3272905",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY",
"identifier": "730000152CT03",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236734",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0121288",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V6948",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004070637",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "152000",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "ORRILL",
"middle_name": "ANN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.