Individual provider Active NPI

Shannon Booth

  • Audiologist
  • Clearwater, FL
National Provider Identifier
1508128588
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1330 S Fort Harrison Ave
Clearwater, FL 33756-3313
Phone
(727) 216-0700
Fax
(727) 216-0704
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

1330 S Fort Harrison Ave
Clearwater, FL 33756-3313

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7539
Phone (813) 973-8400

Other practice location 1

2020 Town Center Blvd Ste B
Brandon, FL 33511
Phone (813) 973-8400

Other names 1

  • Shannon Morris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221103003054 AL Practitioner - Qualified Audiologist 8123275062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama ENT AssociatesGroup PAC ID 5597744748, 26 clinicians

Practice addresses (Care Compare)

1963 Memorial Pkwy SW
Suite 5 and 9
Huntsville, AL 35801-5003
Phone (256) 536-9300

Merit-based Incentive Payment System (MIPS)

Final score
83.9 of 100Reported as group
Quality
81.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama ENT Associates CurrentSince Oct 24, 2022 Accepting new patients
North Alabama ENT Associates, P.C. CurrentSince Oct 24, 2022 Accepting new patients

Locations

927 Franklin St SE
Ste 100
Huntsville, AL 35801
Phone (256) 535-9038

1963 Memorial Pkwy SW
Ste 5
Huntsville, AL 35801
Phone (256) 265-2464

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.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1508128588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427539",
            "telephone_number": "813-973-8400",
            "fax_number": "813-355-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563313",
            "telephone_number": "727-216-0700",
            "fax_number": "727-216-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Town Center Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "33511",
            "country_code": "US",
            "telephone_number": "813-973-8400",
            "fax_number": "813-355-5077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MORRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.