Active NPI
Shanna M Dewsnup, AU.D.
- Audiologist-Hearing Aid Fitter
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- DA8426
- Practice address
- 8877 W Union Hills Dr BLDG C
Suite B350
Peoria, AZ 85382-3008 - Phone
- (623) 428-0727
- Fax
- (623) 738-3918
- NPI assigned
- May 24, 2013
- 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 | DA8426 | AZ | |
| Audiologist-Hearing Aid Fitter | 237600000X | 680 | CO | |
| Audiologist-Hearing Aid Fitter | 237600000X | DA8426 | AZ | Primary |
Addresses
Primary practice location
8877 W Union Hills Dr BLDG C
Suite B350
Peoria, AZ 85382-3008
Mailing address
8877 W Union Hills Dr Ste 350
Peoria, AZ 85382-3026
Phone (623) 428-0727
Other names 1
- Shanna M Mortensen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4915 E Baseline Rd
Suite 123
Gilbert, AZ 85234-2969
Phone (480) 562-6001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA8426 | AZ | MD | Audiologist-Hearing Aid Fitter |
| 680 | CO | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Ears Balance Center | Audiologist | Current | Accepting new patients |
| Arizona Hearcare Network, Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
6116 E Arbor Ave
Ste 110
Mesa, AZ 85206
Phone (480) 562-6001
8877 W Union Hills Dr
Ste 350
Peoria, AZ 85382
Phone (623) 428-0727
14757 W Mountain View Blvd
Ste 120
Surprise, AZ 85374
Phone (623) 227-1924
Organizations & group practices 3
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.
-
- Audiologist-Hearing Aid Fitter
- Peoria, AZ
- NPI 1033516083
-
- Audiologist
- Surprise, AZ
- NPI 1134794837
-
- Audiologist-Hearing Aid Fitter
- Glendale, AZ
- NPI 1518947829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1821435249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8877 W UNION HILLS DR STE 350",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823026",
"telephone_number": "623-428-0727",
"fax_number": "623-738-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8877 W UNION HILLS DR BLDG C",
"address_2": "SUITE B350",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823008",
"telephone_number": "623-428-0727",
"fax_number": "623-738-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWSNUP",
"first_name": "SHANNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA8426",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CO",
"license": "680",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA8426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNA",
"last_name": "MORTENSEN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.