Kelli Shinault, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51717 Issued in TX

Practice address

4315 James Casey St
Ste 301
Austin, TX 78745-3365

Phone

(512) 444-7944

Fax

(512) 454-7946

NPI assigned

Jul 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butler and Burns Ear Nose and Throat AssociatesGroup PAC ID 5496668238, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Butler & Burns Ear Nose & Throat Associates

  • Otolaryngology Physician
  • Austin, TX
  • NPI 1174505473
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1922262229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 JAMES CASEY ST",
            "address_2": "STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453365",
            "telephone_number": "512-444-7944",
            "fax_number": "512-454-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 JAMES CASEY ST",
            "address_2": "STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453365",
            "telephone_number": "512-444-7944",
            "fax_number": "512-454-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINAULT",
        "first_name": "KELLI",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Shin, PA
• Elise Hyun Shin, MD, MBA
• Hyon C Shin, M.D.
• Jennifer Shin, PHARMD
• Suji Shin
• Shine Foot and Ankle Center
• Shine Psychiatry, PLLC
• Shine Together Therapy Group, PLLC
• Kenneth Irwin Shine, M.D.
• Morgan Briana Shingle, LMSW

• Audiologist in Austin, TX
• Providers in Austin, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.

Verify at the official NPI Registry.