Active NPI
Shannon Christine Manzo, AUD
- Audiologist
- Rochester, NY
National Provider Identifier
1992798227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 001866
- Practice address
- 2561 Lac de Ville Blvd
Ste 101
Rochester, NY 14618-5645 - Phone
- (585) 461-9192
- Fax
- (585) 461-9196
- NPI assigned
- Aug 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001866 | NY | Primary |
Addresses
Primary practice location
2561 Lac de Ville Blvd
Ste 101
Rochester, NY 14618-5645
Mailing address
2561 Lac de Ville Blvd
Ste 101
Rochester, NY 14618-5645
Phone (585) 461-9192
Other names 1
- Miss Shannon Christine Raymond
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 |
|---|---|---|---|
| 001866 | NY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macdonald Audiology PC | Audiologist | Past | Accepting new patients |
| The Hearing Center, Inc. | Audiologist | Past | Accepting new patients |
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
- Rochester, NY
- NPI 1528644952
-
- Audiologist-Hearing Aid Fitter
- Rochester, NY
- NPI 1356434153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992798227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 LAC DE VILLE BLVD",
"address_2": "STE 101",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185645",
"telephone_number": "585-461-9192",
"fax_number": "585-461-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2561 LAC DE VILLE BLVD",
"address_2": "STE 101",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185645",
"telephone_number": "585-461-9192",
"fax_number": "585-461-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZO",
"first_name": "SHANNON",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "RAYMOND",
"middle_name": "CHRISTINE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.