Shanon Radley Kusch, MS CCCA FAAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A1364 Issued in TN

Practice address

3650 W Rock Creek Rd
Norman, OK 73072-2202

Phone

(405) 364-2684

Fax

(405) 364-1802

NPI assigned

Nov 16, 2005

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

Not listed in the public Medicare enrollment file

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.

• Oklahoma Otolaryngology Associates, LLC

  • Specialist
  • Oklahoma City, OK
  • NPI 1124118773
  NPD
• Oklahoma Otolaryngology Hearing Center Inc

  • Audiologist
  • Edmond, OK
  • NPI 1356788954
  NPD (past)
• Southeastern Ear, Nose & Throat

  • Specialist
  • Nashville, TN
  • NPI 1437216256
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1992787097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 GARRISON DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292570",
            "telephone_number": "615-895-8440",
            "fax_number": "615-895-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W ROCK CREEK RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722202",
            "telephone_number": "405-364-2684",
            "fax_number": "405-364-1802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1272 Garrison Dr",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292570",
            "country_code": "US",
            "telephone_number": "615-893-4480 x6430",
            "fax_number": "615-895-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3048 SW 89th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731596385",
            "country_code": "US",
            "telephone_number": "405-759-7600",
            "fax_number": "405-607-3576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSCH",
        "first_name": "SHANON",
        "middle_name": "RADLEY",
        "credential": "MS  CCCA   FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kumar B Ennamuri
• Kumar B Ennamuri MD PC
• Sudhakara R. Kunamneni, M.D.,
• Shannon Leigh Kunkel
• John Shamgar Kunze, PHARMD
• Jessica Kuwitzky, PT
• Jennifer Lee Kyllingstad, DPT
• Dinah Bess L'Heureux, PA-C
• Joshua Kyle L'Hommedieu, PHARM.D
• Peter La, BA

• Audiologist in Norman, OK
• Providers in Norman, OK by specialty
• Audiologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.