Tyler James Shank

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

17001190A Issued in IN

Practice address

2088 S Liberty Dr Ste 112
Bloomington, IN 47403-5171

Phone

(812) 323-0111

NPI assigned

Dec 20, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962918367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 S LIBERTY DR STE 112",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035171",
            "telephone_number": "812-323-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 S LIBERTY DR STE 112",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035171",
            "telephone_number": "812-323-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2619 16th St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474213503",
            "country_code": "US",
            "telephone_number": "812-275-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560A Morton Ave",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "IN",
            "postal_code": "461512753",
            "country_code": "US",
            "telephone_number": "765-349-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANK",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001190A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hafiza Khadija Shahid, MBBS
• Faizan Shaikh, MD
• Samiullah Shaikh
• Beverly J Shamloo, NP
• Shank & Wells Enterprises, LLC
• Kavya Shankar, MD
• Shape Behavioral Services LLC
• Suzanne Elaine Sharp, MA,CCC-SLP
• Lauren Nicole Shaw
• Natasha Shaw

• Hearing Instrument Specialist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Hearing Instrument Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.