Shayla D.C. Smith, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

467-156 Issued in WI

Practice address

1406 Willowbrook Rd Ste 106
Beloit, WI 53511-6925

Phone

(608) 364-4400

Fax

(608) 312-2477

NPI assigned

Jul 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shayla D Crays Smith Aud LTDGroup PAC ID 7012953235, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shayla D. Crays Smith, Aud, LTD

  • Audiologist
  • Beloit, WI
  • NPI 1669792420
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1467451773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 WILLOWBROOK RD STE 106",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116925",
            "telephone_number": "608-364-4400",
            "fax_number": "608-364-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 WILLOWBROOK RD STE 106",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116925",
            "telephone_number": "608-364-4400",
            "fax_number": "608-312-2477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2867 Liberty Ln",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535450388",
            "country_code": "US",
            "telephone_number": "608-563-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAYLA",
        "middle_name": "D.C.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2021-01-11",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000997",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "467-156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41150300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sisson
• Samantha Jo Skowronski, CD
• Amber Noel Slaybaugh, DPT
• Kari Ann Smith, PTA
• Seth James Smith
• Vicki P. Smythe, PA-C
• Caitlyn Socha
• Stacey Lee Solomon
• Vijaya Somaraju, M.D.
• Southern Wisconsin Emergency Associates SC

• Audiologist in Beloit, WI
• Providers in Beloit, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.