Shellie D Derouen, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51478 Issued in TX

Practice address

378 Wynnpage Dr
Dripping Springs, TX 78620-2106

Phone

(806) 535-2053

NPI assigned

Dec 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shellie D Scott Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sinus and Snoring SpecialistsGroup PAC ID 3577813427, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shellie.derouen.2@8363.direct.athenahealth.com

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.

• Sinus & Snoring Specialists

  • Medical Specialty Clinic/Center
  • Austin, TX
  • NPI 1588037758
  Medicare reassignment Care Compare group NPD
• Dell Children's Medical Group

  • Pediatrics Physician
  • Austin, TX
  • NPI 1326072943
  Medicare reassignment NPD
• Dell Children's Medical Group

  dba Dell Children's Medical Group Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
  • NPI 1124748249
  NPD
• Dell Children's Medical Group

  • Pediatrics Physician
  • Round Rock, TX
  • NPI 1790103869
  NPD
• Independent Physicians Network PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1396274676
  NPD
• Randall King

  dba King Hearing Center

  • Audiologist-Hearing Aid Fitter
  • Lubbock, TX
  • NPI 1134473614
  NPD (past)
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233
  NPD (past)

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1487990800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 WYNNPAGE DR",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786202106",
            "telephone_number": "806-535-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 WYNNPAGE DR",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786202106",
            "telephone_number": "806-535-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROUEN",
        "first_name": "SHELLIE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLIE",
            "last_name": "SCOTT",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandria K Dean, OTR/L
• Courtney Marie Deavers, FNP-C
• Valerie Dehulsters, PT
• Demarco Dental, PLLC (Dripping Springs Family Smiles)
• Christopher Demarco, DDS
• Discovery Practice Management, Inc. (Discovery Mood & Anxiety, Dripping Springs (Austin))
• Rain Storm Dotson
• Annika Dove
• Drane Chiropractic, Inc
• Brandon Tyler Drane, DC

• Audiologist in Dripping Springs, TX
• Providers in Dripping Springs, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.