Individual provider Active NPI

Ann Kathleen Shea, AUD, MA, CCC-A/SLP

  • Audiologist
  • Austin, TX
National Provider Identifier
1992873681
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80362 Issued in TX
Practice address
10200 Crumley Ranch Rd
Austin, TX 78738-6011
Phone
(605) 391-8407
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5831473 TX
Audiologist 231H00000X 80362 TX Primary

Addresses

Primary practice location

10200 Crumley Ranch Rd
Austin, TX 78738-6011

Mailing address

10200 Crumley Ranch Rd
Austin, TX 78738-6011
Phone (605) 391-8407

Other identifiers 1

IdentifierTypeStateIssuer
5831473MedicaidSD

Other names 1

  • Ann Kathleen Hemme Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
80362TXMDAudiologist
5831473TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1992873681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 CRUMLEY RANCH RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386011",
            "telephone_number": "605-391-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 CRUMLEY RANCH RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386011",
            "telephone_number": "605-391-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "ANN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "AUD, MA, CCC-A/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "5831473",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5831473",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "HEMME",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.