Mary Rachael Shannon, AU.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD00001070 Issued in WA

Practice address

5775 Soundview Dr Ste C204
Gig Harbor, WA 98335-2212

Phone

(253) 514-8224

Fax

(253) 514-8273

NPI assigned

Jan 15, 2013

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PNW Audiology Specialty Group PLLCGroup PAC ID 1254681802, 9 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.

• PNW Audiology Specialty Group PLLC

  • Audiologist
  • Seattle, WA
  • NPI 1104303791
  Medicare reassignment Care Compare group NPD
• Hearing by Design, Inc

  • Hearing Aid Equipment
  • Tacoma, WA
  • NPI 1174715015

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1467799189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 3RD AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152023",
            "telephone_number": "206-367-1345",
            "fax_number": "206-367-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 SOUNDVIEW DR STE C204",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352212",
            "telephone_number": "253-514-8224",
            "fax_number": "253-514-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Cherry Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983104208",
            "country_code": "US",
            "telephone_number": "360-373-1250",
            "fax_number": "360-373-0834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9730 3rd Ave NE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981152023",
            "country_code": "US",
            "telephone_number": "206-367-1345",
            "fax_number": "206-367-1366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "MARY",
        "middle_name": "RACHAEL",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00001070",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00001070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Jay Seaton Sr., M.S., LMHC, CSAT
• James Martin Seefeldt, DPT
• Diana M Sellers, LMP
• Eunice Kim Setiawan, MA, LMHCA, NCC
• Paul Zamora Seville, M.D.
• Zakaria Ibrahim Sharif, MD
• Deeanne Renee Shaw, LMP
• Melissa Shea, PT
• Rachael Sheehan, CNM
• Megan Sherman, PHARMD

• Audiologist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.