Active NPI
Shelley Elizabeth Bassham, PHD
- Audiologist
- Fayetteville, AR
National Provider Identifier
1730105263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A#253
- Practice address
- 180 E Sunbridge Dr
Fayetteville, AR 72703-2830 - Phone
- (479) 443-4301
- Fax
- (479) 587-5921
- NPI assigned
- Jul 15, 2006
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A#253 | AR | Primary |
Addresses
Primary practice location
180 E Sunbridge Dr
Fayetteville, AR 72703-2830
Mailing address
180 E Sunbridge Dr
Fayetteville, AR 72703-2830
Phone (479) 443-4301
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A#253 | AR | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730105263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 E SUNBRIDGE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032830",
"telephone_number": "479-443-4301",
"fax_number": "479-587-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E SUNBRIDGE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032830",
"telephone_number": "479-443-4301",
"fax_number": "479-587-5921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSHAM",
"first_name": "SHELLEY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AR",
"license": "A#253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.