Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shelli Ks Carson, MS, CCC-A

Individual provider Audiologist · NPI 1407997265

Shelli Ks Carson, MS, CCC-A is a Qualified Audiologist in Fayetteville, Arkansas. Qualified in 1994, 32 years ago. Practices with ENT and Allergy Center, PA, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
32
Licensed in
AR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

1970 E Joyce Blvd Ste 2
Fayetteville, AR 72703-5135
Phone: (479) 443-6511
Fax: (479) 332-5029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 S 70th St Ste B, Fort Smith, AR 72903-5292 — (479) 974-9880

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence A#153 (AR)
Audiologist Taxonomy 231H00000X · Licence ASHA #01115396 (AR)

Record details

NPI number1407997265
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-A
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing address1970 E Joyce Blvd Ste 2, Fayetteville, AR 72703-5135

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Ent And Allergy Center, Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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