Active NPI
Shanna Patsy Weller, AU.D.
- Audiologist
- Naples, FL
National Provider Identifier
1629385497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1639
- Practice address
- 625 Tamiami TRL N
Suite 301
Naples, FL 34102-8143 - Phone
- (239) 434-0086
- Fax
- (239) 434-9029
- NPI assigned
- Sep 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1639 | FL | Primary |
Addresses
Primary practice location
625 Tamiami TRL N
Suite 301
Naples, FL 34102-8143
Mailing address
625 Tamiami Trail North
Suite 301
Naples, FL 34102-8143
Phone (239) 434-0086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AY1639 | Other | FL | STATE LICENSE NUMBER RECEIVED THUSFAR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356912000000",
"number": "1629385497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 TAMIAMI TRAIL NORTH",
"address_2": "SUITE 301",
"city": "NAPLES",
"state": "FL",
"postal_code": "341028143",
"telephone_number": "239-434-0086",
"fax_number": "239-434-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 TAMIAMI TRL N",
"address_2": "SUITE 301",
"city": "NAPLES",
"state": "FL",
"postal_code": "341028143",
"telephone_number": "239-434-0086",
"fax_number": "239-434-9029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "SHANNA",
"middle_name": "PATSY",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2012-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER RECEIVED THUSFAR",
"identifier": "AY1639",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
- Mark A Weissman, MD
- Stephen David Weissman, DPM
- Well-Being Medical Center PLLC
- Wellcomemd Naples Clinic, LLC
- Michael Weller, PHYSICIAN ASSISTANT
- Christopher Brian Welling, PHARMD
- Wellmind, Dba Wellmind With Dr. McGee PA
- Wellness Dimensions LLC
- Wellpath Behavioral and Psychological Services LLC
- Wells Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.