KEVIN WILSON SHANKS (NPI# 1265448773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265448773 |
| Entity Type | Individual |
| Full Name | KEVIN WILSON SHANKS |
| Credential | M.S. |
| Practice Address |
2250 Genoa Business Park Dr Ste 130 Suite 130 Brighton MI 48114-7372 |
| Mailing Address |
3094 Chelsea Cir Ann Arbor MI 48108-2722 |
| Practice Telephone | 5173758846 |
| Mailing Telephone | 5173758846 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000554 | MI | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | AY1032 | FL | Speech, Language and Hearing Service Providers |
| N | 237700000X | Hearing Instrument Specialist | 3501006351 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
2250 GENOA BUSINESS PARK DR STE 130 SUITE 130 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (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. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1568581643 | Amanda G. Szymanski | Audiologist | 13981 Downing St, Brighton, CO 80602-6347 | 2007-03-28 |
| 1649895319 | Shuai Zhang | Audiologist | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-06-09 |
| 1710426663 | Aya Audiological Consultants, LLC | Audiologist | 2300 Genoa Business Park Dr, Suite 130, Brighton, MI 48114-7367 | 2017-02-13 |
| 1477098093 | Bbl Holdings, LLC | Audiologist | 8023 Grand River Rd, 400, Brighton, MI 48114-9392 | 2017-01-05 |
| 1154731636 | Delvina Labrecque | Audiologist | 736 Cambridge St, Smc 8 Audiology, Brighton, MA 02135-2907 | 2014-05-06 |
| 1568716074 | Naomi Bramhall | Audiologist | 736 Cambridge St, St. Elizabeth's Medical Center Dept of Otolaryngology, Brighton, MA 02135-2907 | 2012-11-06 |
| 1912265042 | Mark Allen Parker | Audiologist | 736 Cambridge St, Smc-8, Brighton, MA 02135-2907 | 2012-04-26 |
| 1811293475 | Lisa Wagner | Audiologist | 455 E Grand River Ave, Suite 204, Brighton, MI 48116-1551 | 2011-01-31 |
| 1922327170 | Kathleen Breen | Audiologist | 736 Cambridge St, Brighton, MA 02135-2907 | 2010-05-27 |
| Find all providers in BRIGHTON | ||||
Please comment or provide details below to improve the information on KEVIN WILSON SHANKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.