Active NPI
Shannon P Dowdle, MS CCCA
- Audiologist
- Gorham, ME
National Provider Identifier
1861538746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AP1233
- Practice address
- 347 Main St
Suite 1a
Gorham, ME 04038-1338 - Phone
- (207) 839-8400
- Fax
- (866) 596-0877
- NPI assigned
- Jan 29, 2007
- Last updated
- Feb 12, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AP1233 | ME | Primary |
Addresses
Primary practice location
347 Main St
Suite 1a
Gorham, ME 04038-1338
Mailing address
347 Main St
Suite 1a
Gorham, ME 04038-1338
Phone (207) 839-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098737 | Other | ME | ANTHEM BCBS |
| 264240099 | Medicaid | ME |
Other names 1
- Shannon K Phinney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070801000240 | ME | Practitioner - Qualified Audiologist | 5496846727 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Science
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Gorham, ME
- NPI 1861648495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1861538746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 MAIN ST",
"address_2": "SUITE 1A",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381338",
"telephone_number": "207-839-8400",
"fax_number": "866-596-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 MAIN ST",
"address_2": "SUITE 1A",
"city": "GORHAM",
"state": "ME",
"postal_code": "040381338",
"telephone_number": "207-839-8400",
"fax_number": "866-596-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWDLE",
"first_name": "SHANNON",
"middle_name": "P",
"credential": "MS CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ME",
"license": "AP1233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "098737",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264240099",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "PHINNEY",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gorham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.