Active NPI
Emily K Cullum
- Audiologist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 300876
- Practice address
- 2944 Breckenridge LN
Louisville, KY 40220-1409 - Phone
- (502) 995-5525
- Fax
- (770) 615-6091
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 23002932A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Audiologist | 231H00000X | 300876 | KY | Primary |
Addresses
Primary practice location
2944 Breckenridge LN
Louisville, KY 40220-1409
Mailing address
516 Highwood Dr
Louisville, KY 40206-3295
Phone (205) 470-9557
Other practice location 1
108 W Daisy Ln
New Albany, IN 47150-4537
Phone (502) 995-5525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251216002260 | IN | Practitioner - Qualified Audiologist | 1254825326 | Reassigns benefits to 1 organization |
| I20251218002115 | KY | Practitioner - Qualified Audiologist | 1254825326 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Louisville Medical College, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 W Daisy LN
New Albany, IN 47150-4537
Phone 50289301591188
2944 Breckenridge LN
Louisville, KY 40220-1409
Phone 50289301591188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23002932A | IN | MD | Audiologist |
| 300876 | KY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced ENT and Allergy PLLC | Audiologist | Current | Accepting new patients |
| Merit Anesthesia PLLC | Current | Accepting new patients |
Locations
108 W Daisy Ln
New Albany, IN 47150
Phone (812) 945-3557
2125 State St
Ste 6
New Albany, IN 47150
Phone (812) 945-3557
2944 Breckenridge Ln
Louisville, KY 40220
Phone (502) 995-5525
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Louisville, KY
- NPI 1780817502
Audiologist, IN, KY
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1073293171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 HIGHWOOD DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402063295",
"telephone_number": "205-470-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2944 BRECKENRIDGE LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201409",
"telephone_number": "502-995-5525",
"fax_number": "770-615-6091"
}
],
"practiceLocations": [
{
"address_1": "108 W Daisy Ln",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471504537",
"country_code": "US",
"telephone_number": "502-995-5525",
"fax_number": "770-615-6091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULLUM",
"first_name": "EMILY",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23002932A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "300876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.