Shirley Ann Fors, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5401 Issued in MN

Practice address

12800 Industrial Park Blvd
#105
Plymouth, MN 55441-3974

Phone

(763) 550-0603

Fax

(763) 559-0985

NPI assigned

Sep 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shirley Ann Fors Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Hearing Help Audiology Clinic Inc

  • Audiologist
  • Plymouth, MN
  • NPI 1639336407
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1659366532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD",
            "address_2": "#105",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413974",
            "telephone_number": "763-550-0603",
            "fax_number": "763-559-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD",
            "address_2": "#105",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413974",
            "telephone_number": "763-550-0603",
            "fax_number": "763-559-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORS",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "FORS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "AU.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darlene Flint, CRNA
• Rebecca Erin Foell, MSSW LICSW
• Katie Fokken, D.C.
• Hannah Faith Foreman
• Callan Forgrave
• Laura Fortner, MT-BC
• Sarah Anne Foster, MD.
• Four Seasons Dental PA
• Four Seasons Family Chiropractic Clinic
• Cameron Fox, MD PHD

• Audiologist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.