Individual provider Active NPI

Emily K Cullum

  • Audiologist
  • Louisville, KY
National Provider Identifier
1073293171
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
300876 Issued in KY
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

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
Advanced ENT and Allergy PLLCGroup PAC ID 2769525385, 37 clinicians

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

LicenseStateTypeSpecialty
23002932AINMDAudiologist
300876KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced ENT and Allergy PLLC Audiologist CurrentSince Nov 1, 2025 Accepting new patients
Merit Anesthesia PLLC CurrentSince Nov 1, 2025 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.

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.

Verify at the official NPI Registry.