Active NPI
Shannon O'Rourke, AUD
- Audiologist
- Wethersfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4866
- Practice address
- 919 Silas Deane Hwy
Wethersfield, CT 06109-4201 - Phone
- (860) 529-3443
- Fax
- (860) 513-1277
- NPI assigned
- Feb 9, 2022
- 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 | 4866 | MA | Primary |
Addresses
Primary practice location
919 Silas Deane Hwy
Wethersfield, CT 06109-4201
Mailing address
919 Silas Deane Hwy
Wethersfield, CT 06109-4201
Phone (860) 529-3443
Other practice location 1
28 N Main St Ste 101
West Hartford, CT 06107-1987
Phone (860) 561-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Connecticut School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
919 Silas Deane Hwy
Wethersfield, CT 06109-4201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4866 | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Improvement Center LLC | Audiologist | Current | Accepting new patients |
| Cape Cod Hearing Center | Past | Accepting new patients |
Locations
28 N Main St
Ste 101
West Hartford, CT 06107
Phone (860) 561-2345
28 N Main St
West Hartfrd, CT 06107
Phone (860) 561-2345
919 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 529-3193
Organizations & group practices 2
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.
-
- Audiologist
- West Hartford, CT
- NPI 1003985938
-
- Assistive Technology Supplier Audiologist
- Hyannis, MA
- NPI 1245572858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1902550874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094201",
"telephone_number": "860-529-3443",
"fax_number": "860-513-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061094201",
"telephone_number": "860-529-3443",
"fax_number": "860-513-1277"
}
],
"practiceLocations": [
{
"address_1": "28 N Main St Ste 101",
"address_purpose": "LOCATION",
"city": "West Hartford",
"state": "CT",
"postal_code": "061071987",
"country_code": "US",
"telephone_number": "860-561-2345",
"fax_number": "860-561-2666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'ROURKE",
"first_name": "SHANNON",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-09",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "4866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.