Active NPI
Alex Nicole Shockey, HIS
- Hearing Instrument Specialist
- Shiloh, IL
National Provider Identifier
1679479760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3699
- Practice address
- 1179 Fortune Blvd
Shiloh, IL 62269-7377 - Phone
- (618) 628-0715
- Fax
- (888) 371-4468
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3699 | IL | Primary |
Addresses
Primary practice location
1179 Fortune Blvd
Shiloh, IL 62269-7377
Mailing address
1179 Fortune Blvd
Shiloh, IL 62269-7377
Phone (618) 628-0715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1679479760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 FORTUNE BLVD",
"city": "SHILOH",
"state": "IL",
"postal_code": "622697377",
"telephone_number": "618-628-0715",
"fax_number": "888-371-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 FORTUNE BLVD",
"city": "SHILOH",
"state": "IL",
"postal_code": "622697377",
"telephone_number": "618-628-0715",
"fax_number": "888-371-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOCKEY",
"first_name": "ALEX",
"middle_name": "NICOLE",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shiloh, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.