Active NPI
Shelly Shelton
- Audiologist
- Detroit, MI
National Provider Identifier
1992113104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000430
- Practice address
- 269 Walker St # 848
Detroit, MI 48207-4258 - Phone
- (313) 888-6848
- NPI assigned
- Jul 31, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | |||
| Audiologist | 231H00000X | 1601000430 | MI | Primary |
Addresses
Primary practice location
269 Walker St # 848
Detroit, MI 48207-4258
Mailing address
PO Box 441185
Detroit, MI 48244-1185
Phone (313) 443-4712
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear Me Out | Audiologist | Current | Accepting new patients |
| Truecare Asthma and Allergy Center | Past | Accepting new patients |
Locations
269 Walker St
Detroit, MI 48207
Phone (313) 445-4509
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
- Detroit, MI
- NPI 1801549001
-
- Allergy Physician
- Southfield, MI
- NPI 1699818617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1992113104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 441185",
"city": "DETROIT",
"state": "MI",
"postal_code": "482441185",
"telephone_number": "313-443-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 WALKER ST # 848",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074258",
"telephone_number": "313-888-6848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "SHELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.