Individual provider Active NPI

Michele L Schultz, AU.D, CCC-A

  • Audiologist
  • West Columbia, SC
National Provider Identifier
1548376908
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4066 Issued in SC
Practice address
3937 Sunset Blvd Ste B
West Columbia, SC 29169-2423
Phone
(803) 900-4890
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4066 SC Primary
Audiologist 231H00000X AY1620 FL

Addresses

Primary practice location

3937 Sunset Blvd Ste B
West Columbia, SC 29169-2423

Mailing address

417 River Club Rd
Lexington, SC 29072-6722
Phone (954) 226-0045

Other practice location 1

417 River Club Rd
Lexington, SC 29072-6722
Phone (954) 226-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1620FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
LTC Therapy Solutions LLC CurrentSince Dec 29, 2017 Accepting new patients
V B Associates, Inc. Past Accepting new patients
Westech Hearing, LLC Audiologist Past Accepting new patients
Advanced Hearing Solutions, Inc. Audiologist PastSince Aug 1, 2006 Accepting new patients

Locations

3681 Leaphart Rd
Ste A
West Columbia, SC 29169
Phone (803) 454-6090

Organizations & group practices 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1548376908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 RIVER CLUB RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726722",
            "telephone_number": "954-226-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 SUNSET BLVD STE B",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692423",
            "telephone_number": "803-900-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 River Club Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290726722",
            "country_code": "US",
            "telephone_number": "954-226-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "4066",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.