Individual provider Active NPI

Moira Rose McShane, AUD, CCC-A

  • Audiologist
  • Ann Arbor, MI
National Provider Identifier
1598439655
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001034 Issued in MI
Practice address
1540 E Hospital Dr
CW 2-901, Reception a
Ann Arbor, MI 48109-4227
Phone
(734) 232-3914
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601001034 MI Primary

Addresses

Primary practice location

1540 E Hospital Dr
CW 2-901, Reception a
Ann Arbor, MI 48109-4227

Mailing address

1922 W Liberty St Apt 5
Ann Arbor, MI 48103-4566
Phone (847) 363-3577

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1601001034MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients

Locations

13123 E 16th Ave
#B30
Aurora, CO 80045
Phone (720) 777-6800

Interoperability endpoints

  • Direct secure messaging: mmcshane259312@direct.childrenscolorado.org

Organizations & group practices 1

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1598439655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 W LIBERTY ST APT 5",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034566",
            "telephone_number": "847-363-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E HOSPITAL DR",
            "address_2": "CW 2-901, RECEPTION A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094227",
            "telephone_number": "734-232-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "MOIRA",
        "middle_name": "ROSE",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601001034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.