Active NPI
Suzanne Shockley, AU.D.
- Audiologist
- Yorktown, IN
National Provider Identifier
1912908211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23001414A
- Practice address
- 6770 W Kilgore Ave
Yorktown, IN 47396-9108 - Phone
- (765) 759-9788
- Fax
- (765) 759-9783
- NPI assigned
- Aug 9, 2005
- Last updated
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 23001414A | IN | Primary |
Addresses
Primary practice location
6770 W Kilgore Ave
Yorktown, IN 47396-9108
Mailing address
6770 W Kilgore Ave
Yorktown, IN 47396-9108
Phone (765) 759-9788
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23001414A | IN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomlin Audiology, LLC | Audiologist | 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, 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": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1912908211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6770 W KILGORE AVE",
"city": "YORKTOWN",
"state": "IN",
"postal_code": "473969108",
"telephone_number": "765-759-9788",
"fax_number": "765-759-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 W KILGORE AVE",
"city": "YORKTOWN",
"state": "IN",
"postal_code": "473969108",
"telephone_number": "765-759-9788",
"fax_number": "765-759-9783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOCKLEY",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23001414A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorktown, IN
- Roberta Vernice Reichenbach, FNP
- Responsive Home Health Care Inc (Hook's Oxygen & Medical Equipment)
- Heather Riff
- Anna Adenda Sabijon
- Rebecca Saylor, LCSW
- Angela Marie Smith, MSW, LSW
- Brandy Smith, PA-C
- St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
- Tiffany L Stinson, DPT
- Marcia Kay Strong, LPN,MA,CRC,CCM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.