Individual provider Active NPI

Shelby Barnwell Wright, AU.D., CCC-A

  • Audiologist
  • Fort Mill, SC
National Provider Identifier
1871748616
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3916 Issued in SC
Practice address
127 Ben Casey Dr Ste 105
Fort Mill, SC 29708-6600
Phone
(803) 547-4327
Fax
(803) 547-4329
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3916 SC Primary
Audiologist 231H00000X

Addresses

Primary practice location

127 Ben Casey Dr Ste 105
Fort Mill, SC 29708-6600

Mailing address

127 Ben Casey Dr Ste 105
Fort Mill, SC 29708-6600
Phone (803) 547-4327

Other practice location 1

200 S Herlong Ave
Suite A
Rock Hill, SC 29732-3399
Phone (704) 328-1865

Other identifiers 3

IdentifierTypeStateIssuer
1896NOtherNCBCBS
SA1518MedicaidSC
Q349645874OtherSCMEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3916SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parmann Group, PA Past Accepting new patients

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1871748616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BEN CASEY DR STE 105",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086600",
            "telephone_number": "803-547-4327",
            "fax_number": "803-547-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BEN CASEY DR STE 105",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086600",
            "telephone_number": "803-547-4327",
            "fax_number": "803-547-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Herlong Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297323399",
            "country_code": "US",
            "telephone_number": "704-328-1865",
            "fax_number": "803-328-1865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SHELBY",
        "middle_name": "BARNWELL",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "3916",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1896N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1518",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q349645874",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.