Shaleta Elaine Gibson, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000648 Issued in MI

Practice address

1500 East Medical Center Dr
1St Floor Med Inn RM C166A
Ann Arbor, MI 48109-5816

Phone

(734) 936-9420

NPI assigned

Jul 25, 2013

Last updated

Feb 12, 2019By the provider in NPPES

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

• Shaleta Elaine Havard Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Wayne State University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regents of the University of MichiganGroup PAC ID 3779496856, 3,344 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Regents of the University of Michigan

  • Sleep Medicine (Internal Medicine) Physician
  • Ann Arbor, MI
  • NPI 1326307489
  Medicare reassignment Care Compare group NPD
• Regents of the University of Michigan

  • Otolaryngology Physician
  • Ann Arbor, MI
  • NPI 1033133525
  NPD
• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD
• Regents of the University of Michigan

  dba University of Michigan Health System

  • General Acute Care Hospital
  • Ann Arbor, MI
  • NPI 1003878539
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Regents of the University of Michigan

  dba University of Michigan Health System

  • General Acute Care Hospital
  • Ann Arbor, MI
  • NPI 1003878539
  Care Compare affiliation

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1700228236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE STREET",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "1ST FLOOR MED INN RM C166A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095816",
            "telephone_number": "734-936-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SHALETA",
        "middle_name": "ELAINE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALETA",
            "last_name": "HAVARD",
            "middle_name": "ELAINE",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Elizabeth Gibson, RN BSN
• Krystal Gibson
• Paul Randolph Gibson II, NP
• Phyllis Anne Gibson, MS, RN
• Ross L Gibson, LLP
• Thomas H Gibson Jr., D.C.
• Molly Ann Gidley, PA-C
• Daniel Lee Giesler, MD
• Zubair Abdul Giga, PHARMD
• Vessela Ivanova Giger-Mateeva, M.D., PH.D.

• Audiologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.