Individual provider Active NPI

Shannon Parker, AU.D., CCC-A, F-AAA

  • Audiologist
  • Denver City, TX
National Provider Identifier
1629437611
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51763 Issued in TX
Practice address
111 N Avenue B # 1242
Denver City, TX 79323-3115
Phone
(806) 592-7030
Fax
(806) 592-7028
NPI assigned
Feb 18, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51763 TX Primary

Addresses

Primary practice location

111 N Avenue B # 1242
Denver City, TX 79323-3115

Mailing address

1091 State Hwy 83
Denver City, TX 79323-6007
Phone (806) 239-5344

Other practice location 1

1091 State Hwy 83
Denver City, TX 79323-6007
Phone (806) 239-5344

Other names 1

  • Shannon Geach Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Hearing Center Audiologist CurrentSince Jan 1, 2017 Accepting new patients

Locations

111 N Avenue B
Denver City, TX 79323
Phone (806) 239-5344

111 N Avenue B
#1242
Denver City, TX 79323
Phone (806) 239-5344

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, 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": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629437611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 STATE HWY 83",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793236007",
            "telephone_number": "806-239-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N AVENUE B # 1242",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793233115",
            "telephone_number": "806-592-7030",
            "fax_number": "806-592-7028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1091 State Hwy 83",
            "address_purpose": "LOCATION",
            "city": "Denver City",
            "state": "TX",
            "postal_code": "793236007",
            "country_code": "US",
            "telephone_number": "806-239-5344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SHANNON",
        "credential": "AU.D., CCC-A, F-AAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "GEACH",
            "credential": "AU.D., CCC-A, F-AAA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.