Individual provider Active NPI

Shannon Thomson, HIS

  • Hearing Instrument Specialist
  • Casper, WY
National Provider Identifier
1720817653
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
194 Issued in WY
Practice address
2210 King Blvd
Casper, WY 82604-3165
Phone
(307) 577-4240
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 194 WY Primary

Addresses

Primary practice location

2210 King Blvd
Casper, WY 82604-3165

Mailing address

2210 King Blvd
Casper, WY 82604-3165
Phone (307) 577-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
194WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Otolaryngology, P.C. CurrentSince Aug 4, 2024 Accepting new patients
Wyoming Otolaryngology, P.C. Hearing Instrument Specialist CurrentSince Aug 4, 2024 Accepting new patients

Locations

2210 King Blvd
Casper, WY 82604
Phone (307) 577-4240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1720817653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 KING BLVD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043165",
            "telephone_number": "307-577-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KING BLVD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043165",
            "telephone_number": "307-577-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "SHANNON",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WY",
            "license": "194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.