SHANNON NICHOLE CLARK AU.D. NPI 1508837451

Audiologist in Phoenix, AZ

NPI 1508837451 Individual Female Audiologist

NPI Profile for SHANNON NICHOLE CLARK AU.D.

Shannon Clark is a provider established in Phoenix, Arizona and her medical specialization is audiologist. The NPI number of Shannon Clark is 1508837451 and was assigned on January 2006. The practitioner's primary taxonomy code is 231H00000X with license number DA 1924 (AZ). The provider is registered as an individual and her NPI record was last updated 15 years ago.

Shannon Clark is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1508837451

Provider Name SHANNON NICHOLE CLARK AU.D.
Provider Location Address650 E INDIAN SCHOOL RD PHOENIX, AZ 85012
Provider Mailing Address16061 S 38TH WAY PHOENIX, AZ 85048
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-30-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code231H00000X
ClassificationAudiologist
TypeSpeech, Language and Hearing Service Providers
License No.DA 1924
License StateAZ
Taxonomy Description(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Business Address

SHANNON NICHOLE CLARK AU.D.
650 E INDIAN SCHOOL RD
PHOENIX, AZ
ZIP 85012
Phone: (602) 222-6412
Fax: (602) 222-6588

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Mailing Address

SHANNON NICHOLE CLARK AU.D.
16061 S 38TH WAY
PHOENIX, AZ
ZIP 85048
Phone: (480) 893-6648



NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508837451
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
250816314410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 6 + 3 + 1 + 4 + 4 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1508837451 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760456628DR. WILLIAM RICHARD FINCH MD
Individual
Internal Medicine (Rheumatology)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1952376592DR. MERVIN LEE MYRVIK M.D.
Individual
Internal Medicine650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1487613873MRS. LISA NOWELL KILGORE-CHRISTENSEN PA-C
Individual
Physician Assistant650 E INDIAN SCHOOL RD CARL T HAYDEN VA MEDICAL CENTER
PHOENIX, AZ 85012
(602) 277-5551
1336106384DR. JOHN ARTHUR STORIE PSY.D.
Individual
Psychologist (Clinical)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1164489134MS. DANICA D BOGICEVIC LCSW-C
Individual
Social Worker (Clinical)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1710944343MR. JAMES PAUL CAMMARATA PA-C
Individual
Physician Assistant (Medical)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1487611539 GARY ALAN ST. ANTOINE FNP-C
Individual
Nurse Practitioner (Family)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1851359863MRS. TANYA DIANA ORTIZ L.C.S.W.
Individual
Social Worker (Clinical)650 E INDIAN SCHOOL RD BLD 4
PHOENIX, AZ 85012
(602) 277-5551
1154379162MR. RICK S MARKSON P.A.-C
Individual
Physician Assistant650 E INDIAN SCHOOL RD VA MEDICAL CENTER
PHOENIX, AZ 85012
(602) 277-5551
1821046756 MICHELLE LEE SULLIVAN LCSW, LISAC
Individual
Social Worker (Clinical)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1881643294 JUDITH KAY OROSZ LMSW
Individual
Social Worker650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1528017175MR. DOUGLAS HAIG MITCHELL JR. LCSW
Individual
Social Worker (Clinical)650 E INDIAN SCHOOL RD CS/122
PHOENIX, AZ 85012
(602) 277-5551
1356391932 KENNIE JO SLOAN LCSW
Individual
Social Worker (Clinical)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1083666283MS. BRENDA J GUST LMSW
Individual
Social Worker650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1023060290DR. MALCOLM KEITH PIATT MD
Individual
Internal Medicine650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 222-6433
1952353203 IVAN MCCRUM MD
Individual
Psychiatry & Neurology (Psychiatry)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1346292844 STEVEN GENE WEINBERG LCSW
Individual
Social Worker (Clinical)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1922050053DR. ADRIANA TARAZON PH.D.
Individual
Psychologist (Counseling)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1356393425DR. WILLIAM JOSEPH HEISER M.D.
Individual
Radiology (Diagnostic Radiology)650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551
1417909482DR. CHRISTOPHER ALAN KURTZ M.D.
Individual
Internal Medicine650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012
(602) 277-5551

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Shannon Nichole Clark Au.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.