NPI 1225111602 · live from the CMS NPI Registry
Shannon R Gibbons, MA, FAAA
Audiologist-Hearing Aid Fitter in Vernon, CT. National Provider Identifier 1225111602, active.
NPI record
| NPI | 1225111602 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 27 Hartford Turnpike, Rt#83, Vernon, CT 06066 |
| Practice phone | 860-646-7900 |
| Mailing address | 8800 Se Sunnyside Rd Ste 300n, Clackamas, OR 97015 |
| Enumerated | October 23, 2006 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hearing Instrument Specialist | 237700000X | — |
| Audiologist-Hearing Aid Fitter primary | 237600000X | 000356 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.