Mary Rachael Shannon, AU.D., CCC-A
NPI 1467799189ActiveIndividual· Audiologist· Gig Harbor, WA
Audiologist (AU.D., CCC-A) with Pnw Audiology Specialty Group PLLC, practicing in Gig Harbor, Washington. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1467799189 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D., CCC-A |
| Sole proprietor | No |
| NPI issued | Jan 15, 2013 |
| Last updated in NPPES | Sep 6, 2024 |
| Certified by provider | Sep 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | LD00001070 | WA |
| Audiologist-Hearing Aid Fitter | 237600000X | LD00001070 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (WA) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Pnw Audiology Specialty Group PLLCOlympia, WA · 7 clinicians
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