Individual provider Active NPI

Shivani A. Patel, AUD

  • Audiologist
  • Seattle, WA
National Provider Identifier
1548518442
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD60395215 Issued in WA
Practice address
201 Yale Ave N
Seattle, WA 98109-5430
Phone
(206) 596-2099
Fax
(206) 636-1015
NPI assigned
Aug 27, 2012
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 10098 NC
Audiologist 231H00000X LD60395215 WA Primary

Addresses

Primary practice location

201 Yale Ave N
Seattle, WA 98109-5430

Mailing address

201 Yale Ave N
Seattle, WA 98109-5430
Phone (206) 596-2099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131120001890 WA Practitioner - Qualified Audiologist 6507014743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Washington School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Hearing and Audiology PLLCGroup PAC ID 6608126560, 4 clinicians

Practice addresses (Care Compare)

213 Yale Ave N
Seattle, WA 98109-5430
Phone (206) 596-2099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD60395215WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Multicare Health System Audiologist CurrentSince Sep 15, 2013 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Mar 27, 2015 Accepting new patients
Proliance Surgeons, Inc., P.S. Audiologist CurrentSince Mar 27, 2015 Accepting new patients
Multicare Health System CurrentSince Sep 15, 2013 Accepting new patients
Multicare Health System Current Accepting new patients
Asheville Ear Nose and Throat Surgeons, PA Past Accepting new patients

Locations

1231 116th Ave NE
Ste 915
Bellevue, WA 98004
Phone (425) 454-3938

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1548518442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 YALE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095430",
            "telephone_number": "206-596-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 YALE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095430",
            "telephone_number": "206-596-2099",
            "fax_number": "206-636-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVANI",
        "middle_name": "A.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "10098",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60395215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.