Nazifa Sultana, AU. D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

9150 Issued in LA

Practice address

2121 Line Ave
Shreveport, LA 71104-2126

Phone

(318) 629-4681

Fax

(318) 425-3236

NPI assigned

Jul 27, 2022

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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat Center a Medical CorporationGroup PAC ID 4486629540, 9 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.

• Ear Nose & Throat Center a Medical Corporation

  • Otolaryngology Physician
  • Shreveport, LA
  • NPI 1649350968
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1265168652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-629-4681",
            "fax_number": "318-425-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-629-4681",
            "fax_number": "318-425-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8575 Fern Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055677",
            "country_code": "US",
            "telephone_number": "318-798-0759",
            "fax_number": "318-798-0765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "NAZIFA",
        "credential": "AU. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "9150",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "9150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Fred Sullivan, RKT CEP
• Michael J Sullivan, MD
• Miyoshi Umeakiiretta Sullivan
• Regina Galloway Sullivan
• Muhammad Junaid Sultan, MD
• Dana Sumbler, NURSE PRACTITIONER
• Khalil Sumlin
• Magdalene Sumlin
• Shenita Hall Sumlin
• Danielle Summage

• Audiologist-Hearing Aid Fitter in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Audiologist-Hearing Aid Fitter in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.