Active NPI
Phillip Sturtevant, LHAS
- Hearing Instrument Specialist
- Terrytown, LA
National Provider Identifier
1174944417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1310
- Practice address
- 1820 Belle Chasse Hwy Ste 106
Terrytown, LA 70056-7021 - Phone
- (231) 739-5100
- Fax
- (231) 739-5161
- NPI assigned
- Jan 3, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3501005499 | MI | |
| Hearing Instrument Specialist | 237700000X | HA0675 | MS | |
| Hearing Instrument Specialist | 237700000X | 1310 | LA | Primary |
Addresses
Primary practice location
1820 Belle Chasse Hwy Ste 106
Terrytown, LA 70056-7021
Mailing address
5750 Johnston St Ste 502
Lafayette, LA 70503-5334
Phone (231) 739-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3501005499 | MI | MD | Hearing Instrument Specialist |
| HA0675 | MS | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1174944417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 JOHNSTON ST STE 502",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035334",
"telephone_number": "231-739-5100",
"fax_number": "231-739-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 BELLE CHASSE HWY STE 106",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "700567021",
"telephone_number": "231-739-5100",
"fax_number": "231-739-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURTEVANT",
"first_name": "PHILLIP",
"credential": "LHAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-03",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "3501005499",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MS",
"license": "HA0675",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "LA",
"license": "1310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terrytown, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.