Individual provider Active NPI

Shannon P Dowdle, MS CCCA

  • Audiologist
  • Gorham, ME
National Provider Identifier
1861538746
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AP1233 Issued in ME
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
098737OtherMEANTHEM BCBS
264240099MedicaidME

Other names 1

  • Shannon K Phinney Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.