Individual provider Active NPI

Shelby Laney, AU.D.

  • Audiologist
  • Memphis, TN
National Provider Identifier
1619633484
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0000002060 Issued in TN
Practice address
5118 Stage Rd
Memphis, TN 38134-3166
Phone
(901) 372-0040
Fax
(901) 372-8685
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0000002060 TN Primary
Assistive Technology Supplier Audiologist 231HA2500X 0000002060 TN
Audiologist-Hearing Aid Fitter 237600000X 0000002060 TN

Addresses

Primary practice location

5118 Stage Rd
Memphis, TN 38134-3166

Mailing address

5118 Stage Rd
Memphis, TN 38134-3166
Phone (901) 372-0040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s.laney@memphishears.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220211001830 TN Practitioner - Qualified Audiologist 5496148520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Audiological Services, Inc.Group PAC ID 9638339922, 2 clinicians

Practice addresses (Care Compare)

5118 Stage Rd
Memphis, TN 38134-3166
Phone (901) 372-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000002060TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Audiological Services, Inc. Assistive Technology Supplier Current Accepting new patients
Professional Audiological Services, Inc. Audiologist-Hearing Aid Fitter CurrentSince Feb 7, 2022 Accepting new patients

Locations

5118 Stage Rd
Memphis, TN 38134
Phone (901) 372-0040

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1619633484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343166",
            "telephone_number": "901-372-0040",
            "fax_number": "901-372-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343166",
            "telephone_number": "901-372-0040",
            "fax_number": "901-372-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANEY",
        "first_name": "SHELBY",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0000002060",
            "primary": true
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "TN",
            "license": "0000002060",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "0000002060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s.laney@memphishears.com",
            "affiliation": "N",
            "address_1": "5118 Stage Rd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381343166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.