Traci Lynn Shane, M.A., CCC/A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A-00982 Issued in OH

Practice address

655 Metro PL S Ste 600
Dublin, OH 43017-3394

Phone

(888) 964-6681

Fax

(888) 662-0859

NPI assigned

Jan 31, 2006

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthdrive Audiology CorporationGroup PAC ID 0446203962, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Healthdrive Audiology Corporation

  • Audiologist
  • Dublin, OH
  • NPI 1346281151
  Medicare reassignment Care Compare group NPD
• Healthdrive Audiology Corporation

  • Audiologist-Hearing Aid Fitter
  • Columbus, OH
  • NPI 1568633196
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1760453245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 24TH ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 METRO PL S STE 600",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173394",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 24th St",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442231009",
            "country_code": "US",
            "telephone_number": "330-922-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANE",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "credential": "M.A., CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-00982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Shaltami
• Aya Shaltami
• Shamrock Family Eye Care Inc
• Michelle E Shamrock, LPN
• Maria Shane
• Lisa Marie Shanks-Carnahan, RN
• Jayla Kay Shanmugam
• Melissa Ann Shannon, FNP
• Laura Sharits
• Cora Sharkey

• Audiologist in Dublin, OH
• Providers in Dublin, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.