Individual provider Active NPI

Shannon Catherine Wrabel, AU.D.

  • Audiologist
  • Lutherville, MD
National Provider Identifier
1649443094
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1073 Issued in MD
Practice address
1813 York Rd Ste B
Lutherville, MD 21093-5155
Phone
(410) 321-7960
Fax
(410) 702-4660
NPI assigned
Apr 7, 2008
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 1073 MD Primary
Audiologist-Hearing Aid Fitter 237600000X 01073 MD

Addresses

Primary practice location

1813 York Rd Ste B
Lutherville, MD 21093-5155

Mailing address

19110 Montgomery Village Ave Ste 120
Montgomery Village, MD 20886-3706
Phone (301) 977-6317

Other identifiers 1

IdentifierTypeStateIssuer
288206000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120220000932 MD Practitioner - Qualified Audiologist 9638337876 Reassigns benefits to 1 organization
I20170907003208 DC Practitioner - Qualified Audiologist 9638337876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aanda Hearing Group LLCGroup PAC ID 1456493543, 24 clinicians

Practice addresses (Care Compare)

1813 York Rd
Suite B
Timonium, MD 21093-5155
Phone (410) 321-7960

18310 Montgomery Village Ave
Suite 520
Gaithersburg, MD 20879-3554
Phone (301) 977-6317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01073MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
A&a Hearing Group, LLC Audiologist Current Accepting new patients
A&a Hearing Group, LLC Audiologist Current Accepting new patients
A&a Hearing Group, LLC Audiologist CurrentSince Nov 12, 2012 Accepting new patients
A&a Hearing Group, LLC Audiologist-Hearing Aid Fitter CurrentSince Nov 12, 2012 Accepting new patients
A&a Hearing Group, LLC Audiologist CurrentSince Nov 12, 2012 Accepting new patients
Advanced Hearing Centers, Inc. Audiologist Past Accepting new patients

Locations

6020 Meadowridge Center Dr
Ste C
Elkridge, MD 21075
Phone (410) 885-6700

5100 Buckeystown Pike
Ste 285
Frederick, MD 21704
Phone (301) 846-0222

18310 Montgomery Village Ave
Ste 520
Gaithersburg, MD 20879
Phone (301) 977-6317

19110 Montgomery Village Ave
Ste 120
Montgomry Vlg, MD 20886
Phone (301) 977-6317

11119 Rockville Pike
Ste 210
Rockville, MD 20852
Phone (301) 468-3977

1813 York Rd
Ste B
Timonium, MD 21093
Phone (410) 321-7960

Organizations & group practices 6

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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1649443094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19110 MONTGOMERY VILLAGE AVE STE 120",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863706",
            "telephone_number": "301-977-6317",
            "fax_number": "301-977-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 YORK RD STE B",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935155",
            "telephone_number": "410-321-7960",
            "fax_number": "410-702-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRABEL",
        "first_name": "SHANNON",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "1073",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288206000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.