Individual provider Active NPI

Patricia Weis Shappell, AU.D.

  • Audiologist
  • Pleasanton, CA
National Provider Identifier
1831145002
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
D805 Issued in AZ
Practice address
6701 Koll Center Pkwy Ste 120
Pleasanton, CA 94566-8061
Phone
(949) 713-3998
Fax
(949) 713-2931
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X D805 AZ Primary
Audiologist 231H00000X AU2958 CA
Audiologist 231H00000X AUD003980 GA

Addresses

Primary practice location

6701 Koll Center Pkwy Ste 120
Pleasanton, CA 94566-8061

Mailing address

6701 Koll Center Pkwy Ste 120
Pleasanton, CA 94566-8061
Phone (949) 713-3998

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

State licenses

LicenseStateTypeSpecialty
D805AZMDAudiologist
AU2958CAMDAudiologist
AUD003980GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Natus Peloton Incorporated PastSince Jul 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1831145002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 KOLL CENTER PKWY STE 120",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668061",
            "telephone_number": "949-713-3998",
            "fax_number": "949-713-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 KOLL CENTER PKWY STE 120",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668061",
            "telephone_number": "949-713-3998",
            "fax_number": "949-713-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPPELL",
        "first_name": "PATRICIA",
        "middle_name": "WEIS",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "D805",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2958",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.