Kathryn Ann Sullivan, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU 1542 Issued in CA

Practice address

200 UCLA Medical PLZ Ste 540
Los Angeles, CA 90095-8344

Phone

(310) 825-5721

Fax

(310) 206-2331

NPI assigned

Jan 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Head and Neck SurgeonsGroup PAC ID 9032191788, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University Head & Neck Surgeons

  • Otolaryngology Physician
  • Orange, CA
  • NPI 1669437075
  Medicare reassignment Care Compare group NPD
• Regents Univ of Calif Los Angeles

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1427156454
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1225016744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958344",
            "telephone_number": "310-825-5721",
            "fax_number": "310-206-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958344",
            "telephone_number": "310-825-5721",
            "fax_number": "310-206-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 1542",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CA",
            "license": "AU 1542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HA3423",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AU154200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Sullivan, PT, DPT
• Angela Marie Sullivan, M.S.
• Asia Jasmine Sullivan, PA-C
• Corissa Dante' Sullivan
• Hannah Leigh Sullivan
• Lindsay Claire Sullivan, MA
• Maren Sullivan, LCSW
• Melissa Nicole Sullivan, MD
• Peggy S Sullivan, MD
• Rachael Christine Sullivan

• Audiologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.