Jill Amanda Sullivan, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

81519 Issued in TX

Practice address

4 Lakeway Centre CT Unit B
Lakeway, TX 78734-2757

Phone

(512) 682-4798

Fax

(512) 339-1663

NPI assigned

May 25, 2023

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

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Texas at Austin Dell Medical School, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Otolaryngology Head and Neck Surgeons, PAGroup PAC ID 3678551496, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

63.98 of 100Reported as group

Quality

40

Improvement activities

40

Cost

59.94

Medicare enrollment (NPD)

Enrolled

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.

• Capital Otolaryngology Head & Neck Surgeons, P.a.

  • Specialist
  • Austin, TX
  • NPI 1235343344
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1346932498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582604",
            "telephone_number": "512-339-4040",
            "fax_number": "512-339-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAKEWAY CENTRE CT UNIT B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787342757",
            "telephone_number": "512-682-4798",
            "fax_number": "512-339-1663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12309 N Mopac Expy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787582604",
            "country_code": "US",
            "telephone_number": "512-339-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JILL",
        "middle_name": "AMANDA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "81519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Starey
• Nancy Ann Stehlik-Amador, O.D.
• Stemx of Central Texas, PLLC
• Ariana Stern-Luna, MS, LPC
• Carly Stout, LPC
• Nicole Ann Summers
• Supriya Ailnani PLLC
• Krithika Suresh, MD
• Ashley Marie Taylor, OTR, OTD
• David Dean Teuscher, M.D.

• Audiologist-Hearing Aid Fitter in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Audiologist-Hearing Aid Fitter in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.