Organization Active NPI

Shannon Myers Aud Cnim a Professional Audiology Corporation

  • Electroneurodiagnostic Specialist/Technologist
  • San Diego, CA
National Provider Identifier
1841792041
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
SHANNON MYERS AUD CNIM A PROFESSIONAL AUDIOLOGY CORPORATION
Practice address
2955 Vancouver Ave
San Diego, CA 92104-4830
Phone
(215) 720-6183
NPI assigned
Mar 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Shannon Myers, AUD CNIMNPI 1225273386
Title
President
Phone
(215) 720-6183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

2955 Vancouver Ave
San Diego, CA 92104-4830

Mailing address

2955 Vancouver Ave
San Diego, CA 92104-4830
Phone (215) 720-6183

Other practice location 1

9888 Genesee Ave
LA Jolla, CA 92037-1205
Phone (215) 720-6183

Other names 1

  • Neuroguide Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180524001264 CA Part B Supplier - Clinic/Group Practice 0244594695 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA; La Jolla, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1841792041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 VANCOUVER AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044830",
            "telephone_number": "215-720-6183",
            "fax_number": "619-924-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VANCOUVER AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044830",
            "telephone_number": "215-720-6183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9888 Genesee Ave",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371205",
            "country_code": "US",
            "telephone_number": "215-720-6183",
            "fax_number": "619-924-4191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANNON MYERS AUD CNIM A PROFESSIONAL AUDIOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-720-6183",
        "authorized_official_credential": "AUD CNIM"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuroguide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.