Active NPIIndividual provider

Dr. Shannon O'Rourke, AUD

Audiologist in Wethersfield, Connecticut

NPI Number1902550874
Practice location
919 Silas Deane Hwy, Wethersfield, CT 06109-4201
Fax
860-513-1277
Last updated
July 11, 2024

Shannon O'Rourke is an Audiologist based in Wethersfield, CT. Shannon O'Rourke practices in Wethersfield, CT and has the professional credentials of AUD. The NPI Number for Shannon O'Rourke is 1902550874 and holds a License No. 4866 (MA). The current practice location address for Shannon O'Rourke is 919 Silas Deane Hwy, Wethersfield, CT 06109-4201 and can be reached out via phone at 860-529-3443 and via fax at 860-513-1277.

Provider Profile Details

NPI Number
1902550874
Provider Name
Shannon O'Rourke
Credential
AUD
Provider Entity Type
Individual
Gender
Female
Address
919 Silas Deane Hwy, Wethersfield, CT 06109-4201
Phone Number
860-529-3443
Fax Number
860-513-1277
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2022
Last Update Date
July 11, 2024
Certification Date
July 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
919 Silas Deane Hwy
Wethersfield, CT 06109-4201
Zip
06109-4201
Phone Number
860-529-3443
Fax Number
860-513-1277
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
919 Silas Deane Hwy
Wethersfield, CT 06109-4201
City
Wethersfield
State
CT
Zip
06109-4201
Phone Number
860-529-3443
Fax Number
860-513-1277

License Information

License Number
4866
License State
MA
Taxonomy
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shannon O'Rourke, AUD?

The NPI number of Dr. Shannon O'Rourke, AUD is 1902550874. It was assigned on February 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Shannon O'Rourke, AUD?

Dr. Shannon O'Rourke, AUD is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in MA under license number 4866.

Where does Dr. Shannon O'Rourke, AUD practice?

The practice location is 919 Silas Deane Hwy, Wethersfield, CT 06109-4201. The office can be reached at 860-529-3443 (phone) or 860-513-1277 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902550874 directly on the NPPES registry website.

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