Individual provider Active NPI

Shawnajo Marie Powers, AU.D.

  • Audiologist
  • Missoula, MT
National Provider Identifier
1699299875
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6614 Issued in MT
Practice address
700 W Kent Ave
Missoula, MT 59801-6772
Phone
(406) 541-3277
Fax
(406) 541-3811
NPI assigned
Jul 31, 2017
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 6614 MT Primary
Audiologist-Hearing Aid Fitter 237600000X 6614 MT

Addresses

Primary practice location

700 W Kent Ave
Missoula, MT 59801-6772

Mailing address

3310 Monroe Ave Ste 4
Butte, MT 59701-3820
Phone (406) 494-3995

Other practice location 1

120 S 5th St Ste 104
Hamilton, MT 59840-2798
Phone (406) 363-3366

Other practice location 2

2760 Elizabeth Warren Ave Ste B
Butte, MT 59701-3979
Phone (406) 792-1250

Other identifiers 1

IdentifierTypeStateIssuer
SLP-AU-LIC-6614OtherMTMONTANA BOARD OF SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230523001270 MT Practitioner - Qualified Audiologist 0143686832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Ear Nose and Throat Center PCGroup PAC ID 3678472099, 20 clinicians

Practice addresses (Care Compare)

700 W Kent Ave
Missoula, MT 59801-6772
Phone (406) 541-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6614MTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Ear Nose & Throat Center PC Audiologist CurrentSince Jul 10, 2023 Accepting new patients
Kalarchik Consulting, Inc. Audiologist PastSince Jul 11, 2022 Accepting new patients
Rocky Mountain Optical & Contact Lens Center, Inc. Past Accepting new patients
Rocky Mountain Eye Center PC Past Accepting new patients
Rocky Mountain Optical & Contact Lens Center, Inc. Past Accepting new patients

Locations

2760 Elizabeth Warren Ave
Ste B
Butte, MT 59701
Phone (406) 792-1250

120 S 5th St
Ste 104
Hamilton, MT 59840
Phone (406) 363-3366

700 W Kent Ave
Missoula, MT 59801
Phone (406) 541-3277

Organizations & group practices 5

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1699299875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MONROE AVE STE 4",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013820",
            "telephone_number": "406-494-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016772",
            "telephone_number": "406-541-3277",
            "fax_number": "406-541-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S 5th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598402798",
            "country_code": "US",
            "telephone_number": "406-363-3366",
            "fax_number": "406-541-3811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2760 Elizabeth Warren Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597013979",
            "country_code": "US",
            "telephone_number": "406-792-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "SHAWNAJO",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MT",
            "license": "6614",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MT",
            "license": "6614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA BOARD OF SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS",
            "identifier": "SLP-AU-LIC-6614",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.