Individual provider Active NPI

Shannon L Young, H.A.S.

  • Hearing Instrument Specialist
  • Greenville, OH
National Provider Identifier
1861223562
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
IL.03526 Issued in OH
Practice address
5178 Childrens Home Bradford Rd
Greenville, OH 45331-9327
Phone
(937) 548-4242
Fax
(937) 548-4562
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X IL.03526 OH Primary

Addresses

Primary practice location

5178 Childrens Home Bradford Rd
Greenville, OH 45331-9327

Mailing address

5178 Childrens Home Bradford Rd
Greenville, OH 45331-9327
Phone (937) 548-4242

Other practice location 1

808 E Wayne St
Celina, OH 45822-1359
Phone (937) 548-4242

Other practice location 2

450B Washington Jackson Rd
Eaton, OH 45320-7600
Phone (937) 456-4327

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IL.03526OHMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1861223562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5178 CHILDRENS HOME BRADFORD RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453319327",
            "telephone_number": "937-548-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5178 CHILDRENS HOME BRADFORD RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453319327",
            "telephone_number": "937-548-4242",
            "fax_number": "937-548-4562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 E Wayne St",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "OH",
            "postal_code": "458221359",
            "country_code": "US",
            "telephone_number": "937-548-4242",
            "fax_number": "937-548-4562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450B Washington Jackson Rd",
            "address_purpose": "LOCATION",
            "city": "Eaton",
            "state": "OH",
            "postal_code": "453207600",
            "country_code": "US",
            "telephone_number": "937-456-4327",
            "fax_number": "937-548-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "H.A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OH",
            "license": "IL.03526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.