Active NPI
Erika Shakespeare, CCC-A
- Audiologist
- La Grande, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD1096
- Practice address
- 710 Sunset Dr Ste F
La Grande, OR 97850-1200 - Phone
- (541) 663-3100
- Fax
- (541) 975-5135
- NPI assigned
- Oct 1, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD1096 | ID | Primary |
Addresses
Primary practice location
710 Sunset Dr Ste F
La Grande, OR 97850-1200
Mailing address
1404 4TH St
La Grande, OR 97850-2502
Phone (541) 612-7555
Other practice location 1
510 N 2nd St Ste 201
Boise, ID 83702-6078
Phone (208) 385-3440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110210001085 | OR | Practitioner - Qualified Audiologist | 7618157496 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Audiology and Hearing Aid AssociatesGrande Ronde Hospital Inc
Practice addresses (Care Compare)
1404 4TH St
La Grande, OR 97850-2502
Phone (541) 612-7555
900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421
PO Box
Suite 3290
La Grande, OR 97850-7290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD1096 | ID | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc | Current | Accepting new patients | |
| Audiology and Hearing Aid Associates | Audiologist | Current | Accepting new patients |
| Grande Ronde Hospital, Inc. | Current | Accepting new patients |
Locations
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
710 Sunset Dr
Ste F
La Grande, OR 97850
Phone (541) 663-3100
1404 4th St
La Grande, OR 97850
Phone (208) 761-8065
710 Sunset Dr
Ste Dq
La Grande, OR 97850
Organizations & group practices 10
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
- La Grande, OR
- NPI 1972046787
-
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1093296519
-
- Rural Health Clinic/Center
- Elgin, OR
- NPI 1043694342
-
- Home Health Agency
- La Grande, OR
- NPI 1285664037
-
- Medicare Defined Swing Bed Hospital Unit
- La Grande, OR
- NPI 1609980655
-
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1689061491
-
- Rural Health Clinic/Center
- Union, OR
- NPI 1780068080
-
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1376939314
-
- Primary Care Clinic/Center
- Union, OR
- NPI 1871972729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1487963948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 4TH ST",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978502502",
"telephone_number": "541-612-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 SUNSET DR STE F",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978501200",
"telephone_number": "541-663-3100",
"fax_number": "541-975-5135"
}
],
"practiceLocations": [
{
"address_1": "510 N 2nd St Ste 201",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837026078",
"country_code": "US",
"telephone_number": "208-385-3440",
"fax_number": "208-385-3440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAKESPEARE",
"first_name": "ERIKA",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-01",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ID",
"license": "AUD1096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.