Individual provider Active NPI

Shelby Maxwell, AUD

  • Audiologist
  • Nashville, TN
National Provider Identifier
1841742087
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A0000001744 Issued in TN
Practice address
1800 State St
Nashville, TN 37203-2206
Phone
(615) 340-4000
Fax
(615) 327-4449
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A0000001744 TN Primary

Addresses

Primary practice location

1800 State St
Nashville, TN 37203-2206

Mailing address

PO Box 331049
Nashville, TN 37203-7508
Phone (615) 340-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129001548 TN Practitioner - Qualified Audiologist 4486934908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Associates of Tennessee PCGroup PAC ID 8628066404, 24 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 600
Nashville, TN 37203-2663
Phone (615) 340-4000

Merit-based Incentive Payment System (MIPS)

Final score
96.25 of 100Reported as group
Quality
98.09
Promoting interoperability
91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates of Tennessee PC CurrentSince Nov 1, 2016 Accepting new patients

Locations

410 42nd Ave N
Ste 200
Nashville, TN 37209
Phone (615) 340-4000

410 42nd Ave N
Ste 100
Nashville, TN 37209
Phone (615) 329-0591

2004 Hayes St
Ste 600
Nashville, TN 37203
Phone (615) 340-4000

300 20th Ave N
Ste 502
Nashville, TN 37203
Phone (615) 284-4444

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": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1841742087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331049",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372037508",
            "telephone_number": "615-340-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 STATE ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032206",
            "telephone_number": "615-340-4000",
            "fax_number": "615-327-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SHELBY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A0000001744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.