Active NPI
Sue M Windmill, AU D
- Audiologist
- Jackson, MS
National Provider Identifier
1194795096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3325
- Practice address
- 2500 N State St
Department of Otolaryngology
Jackson, MS 39216-4500 - Phone
- (601) 984-5160
- Fax
- (601) 815-6985
- NPI assigned
- Jan 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0161 | KY | |
| Audiologist | 231H00000X | 3325 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Department of Otolaryngology
Jackson, MS 39216-4500
Mailing address
2500 N State St
Department of Otolaryngology
Jackson, MS 39216-4500
Phone (601) 984-5160
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200256380A | Medicaid | IN | |
| 50000009 | Other | KY | KY MEDICAID HEARING AID |
| 70000112 | Medicaid | KY | |
| 155478 | Medicaid | AL | |
| 1115678 | Other | KY | PASSPORT |
| 06631761 | Medicaid | MS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0161 | KY | MD | Counselor |
| 3325 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgical Associates, PSC | Audiologist | 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": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1194795096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF OTOLARYNGOLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5160",
"fax_number": "601-815-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF OTOLARYNGOLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5160",
"fax_number": "601-815-6985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDMILL",
"first_name": "SUE",
"middle_name": "M",
"credential": "AU D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0161",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MS",
"license": "3325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200256380A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAID HEARING AID",
"identifier": "50000009",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70000112",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155478",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1115678",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06631761",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.