Kathleen Ann Sullivan, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU752 Issued in CA

Practice address

1820 Marron Rd
Ste. 102
Carlsbad, CA 92008-1177

Phone

(760) 434-0125

Fax

(760) 434-4531

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mission Audiology, Inc

  • Audiologist
  • Mission Viejo, CA
  • NPI 1558536565
  NPD (past) Authorized official
• South Bay Hearing & Balance Center

  • Audiologist-Hearing Aid Fitter
  • Mission Viejo, CA
  • NPI 1780022624
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1306865845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 SLEEPY WIND ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212935",
            "telephone_number": "310-989-3092",
            "fax_number": "805-530-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MARRON RD",
            "address_2": "STE. 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081177",
            "telephone_number": "760-434-0125",
            "fax_number": "760-434-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Sturdevant
• Rachel Sturz, FNTP
• Rebecca Stworzyjanek, PA
• Charisse Mae Suba, OD
• Janice Tadena Suguitan
• Kathryn Sullivan, FNP
• Stacey Leigh Sundling, RN, PHN
• Jacqueline Sung, OD
• Sunset Kids Therapy
• Michael William Suor

• Audiologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.