Active NPI
Pamela Shattuck Nelson, AU.D.
- Audiologist
- Saint Joseph, MO
National Provider Identifier
1730333774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2012034143
- Practice address
- 2227 N Belt Hwy
Saint Joseph, MO 64506-2205 - Phone
- (816) 233-0022
- NPI assigned
- Nov 4, 2008
- Last updated
- Oct 9, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2012034143 | MO | Primary |
| Audiologist | 231H00000X | 2650 | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | NU |
Addresses
Primary practice location
2227 N Belt Hwy
Saint Joseph, MO 64506-2205
Mailing address
2227 N Belt Hwy
Saint Joseph, MO 64506-2205
Phone (816) 233-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2227 N Belt Hwy
Saint Joseph, MO 64506-2205
Phone (816) 233-0022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012034143 | MO | MD | Audiologist |
| 2650 | CA | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Hearing and Audiology Center LLC | Audiologist | Current | Accepting new patients |
Locations
2227 N Belt Hwy
Saint Joseph, MO 64506
Phone (816) 233-0022
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Saint Joseph, MO
- NPI 1598167587
-
- General Acute Care Hospital
- Cameron, MO
- NPI 1811905375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1730333774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 N BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062205",
"telephone_number": "816-233-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 N BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062205",
"telephone_number": "816-233-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "PAMELA",
"middle_name": "SHATTUCK",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2012034143",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "2650",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.