Individual provider Active NPI

Shelby J Roemer, AU.D.

  • Audiologist
  • Rockledge, FL
National Provider Identifier
1730513813
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
6525 3Rd St Ste 310
Rockledge, FL 32955-5749
Phone
(321) 863-5355
NPI assigned
Aug 26, 2013
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X FL Primary

Addresses

Primary practice location

6525 3Rd St Ste 310
Rockledge, FL 32955-5749

Mailing address

513 Crystal Lake Dr
Melbourne, FL 32940-1936
Phone (321) 863-5355

Other names 1

  • Dr. Shelby J Campbell Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric ENT, LLC PastSince Jan 12, 2009 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1730513813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CRYSTAL LAKE DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401936",
            "telephone_number": "321-863-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 3RD ST STE 310",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555749",
            "telephone_number": "321-863-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEMER",
        "first_name": "SHELBY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "CAMPBELL",
            "middle_name": "J",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.