CT Ears, LLC
Organization Active NPI Audiologist · Bristol, CT
NPI 1194390849 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1194390849
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- Legal business name
- CT EARS, LLC
- Practice address
- 440 N Main St Ste C
Bristol, CT 06010-1902 - Phone
- (860) 893-1977
- Fax
- (860) 845-5330
- NPI assigned
- May 25, 2021
- Organization subpart
- No
Authorized official
- Name
- Karen Spatafora
- Title
- Operations Manager
- Phone
- (860) 893-1977
Practitioners 4
-
Courtney A Ewell, AU.D., ABA-CERT.
-
Diana Patricia Gonzalez, AU.D., CCC-A
-
Rhonda L Sousa, AU.D., CCC-A
-
Jessica J Vanderfeen, AU.D., CCC-A
National Provider Directory
Locations
440 N Main St
Ste 2
Bristol, CT 06010
440 N Main St
Ste C
Bristol, CT 06010
Phone (860) 583-5858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | Yes | ||
| Audiology Assistant |
2355A2700X | |||
| Audiologist-Hearing Aid Fitter |
237600000X | |||
| Hearing Instrument Specialist |
237700000X |
Addresses
Primary practice location
440 N Main St Ste C
Bristol, CT 06010-1902
Mailing address
440 N Main St Ste C
Bristol, CT 06010-1902
Phone (860) 893-1977
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60054 | Other | CT | AETNA PAYOR ID |
| 008059051 | Medicaid | CT | |
| 1121383 | Other | CT | ANTHEM CUSTOMER ID |
| 008105720 | Medicaid | CT | |
| 008104303 | Medicaid | CT | |
| 008126225 | Medicaid | CT | |
| 004228872 | Medicaid | CT |
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.