SHANNON NICHOLE CLARK AU.D. NPI 1508837451
Audiologist in Phoenix, AZ
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 Address | 650 E INDIAN SCHOOL RD PHOENIX, AZ 85012 |
| Provider Mailing Address | 16061 S 38TH WAY PHOENIX, AZ 85048 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 01-30-2006 |
| Last Update Date | 07-08-2007 |
Primary Taxonomy
| Taxonomy Code | 231H00000X |
| Classification | Audiologist |
| Type | Speech, Language and Hearing Service Providers |
| License No. | DA 1924 |
| License State | AZ |
| 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
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. | |||||||||
| 1 | 5 | 0 | 8 | 8 | 3 | 7 | 4 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 3 | 14 | 4 | 10 | |
| 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 = 1 | 1 | ||||||||
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 |
|---|---|---|---|
| 1760456628 | DR. WILLIAM RICHARD FINCH MD Individual | Internal Medicine (Rheumatology) | 650 E INDIAN SCHOOL RD PHOENIX, AZ 85012 (602) 277-5551 |
| 1952376592 | DR. MERVIN LEE MYRVIK M.D. Individual | Internal Medicine | 650 E INDIAN SCHOOL RD PHOENIX, AZ 85012 (602) 277-5551 |
| 1487613873 | MRS. LISA NOWELL KILGORE-CHRISTENSEN PA-C Individual | Physician Assistant | 650 E INDIAN SCHOOL RD CARL T HAYDEN VA MEDICAL CENTER PHOENIX, AZ 85012 (602) 277-5551 |
| 1336106384 | DR. JOHN ARTHUR STORIE PSY.D. Individual | Psychologist (Clinical) | 650 E INDIAN SCHOOL RD PHOENIX, AZ 85012 (602) 277-5551 |
| 1164489134 | MS. DANICA D BOGICEVIC LCSW-C Individual | Social Worker (Clinical) | 650 E INDIAN SCHOOL RD PHOENIX, AZ 85012 (602) 277-5551 |
| 1710944343 | MR. 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 |
| 1851359863 | MRS. TANYA DIANA ORTIZ L.C.S.W. Individual | Social Worker (Clinical) | 650 E INDIAN SCHOOL RD BLD 4 PHOENIX, AZ 85012 (602) 277-5551 |
| 1154379162 | MR. RICK S MARKSON P.A.-C Individual | Physician Assistant | 650 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 Worker | 650 E INDIAN SCHOOL RD PHOENIX, AZ 85012 (602) 277-5551 |
| 1528017175 | MR. 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 |
| 1083666283 | MS. BRENDA J GUST LMSW Individual | Social Worker | 650 E INDIAN SCHOOL RD PHOENIX, AZ 85012 (602) 277-5551 |
| 1023060290 | DR. MALCOLM KEITH PIATT MD Individual | Internal Medicine | 650 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 |
| 1922050053 | DR. ADRIANA TARAZON PH.D. Individual | Psychologist (Counseling) | 650 E INDIAN SCHOOL RD PHOENIX, AZ 85012 (602) 277-5551 |
| 1356393425 | DR. WILLIAM JOSEPH HEISER M.D. Individual | Radiology (Diagnostic Radiology) | 650 E INDIAN SCHOOL RD PHOENIX, AZ 85012 (602) 277-5551 |
| 1417909482 | DR. CHRISTOPHER ALAN KURTZ M.D. Individual | Internal Medicine | 650 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.