Active NPI
Shaunna Susanne Schuldt
- Hearing Instrument Specialist
- Rockford, IL
National Provider Identifier
1891056958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 133960
- Practice address
- 1415 E State St
Ste A1
Rockford, IL 61104-2333 - Phone
- (815) 964-3131
- Fax
- (815) 964-9437
- NPI assigned
- Jun 6, 2012
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 133960 | WI | Primary |
Addresses
Primary practice location
1415 E State St
Ste A1
Rockford, IL 61104-2333
Mailing address
6 Victory Drive
Liberty, MO 64068
Phone (816) 883-2660
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
| License | State | Type | Specialty |
|---|---|---|---|
| 133960 | WI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1891056958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 VICTORY DRIVE",
"city": "LIBERTY",
"state": "MO",
"postal_code": "64068",
"telephone_number": "816-883-2660",
"fax_number": "816-792-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E STATE ST",
"address_2": "STE A1",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042333",
"telephone_number": "815-964-3131",
"fax_number": "815-964-9437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULDT",
"first_name": "SHAUNNA",
"middle_name": "SUSANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "133960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.