Desiree Su, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

426 Issued in NE

Practice address

101 Tower Rd Ste 120
Dakota Dunes, SD 57049-5011

Phone

(605) 217-4320

NPI assigned

Aug 19, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA, SD2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose and Throat Consultants and Hearing Services PLCGroup PAC ID 9335249457, 12 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 and Throat Consultants and Hearing Services PLC

  • Otolaryngology Physician
  • Dakota Dunes, SD
  • NPI 1114141546

  IA

  Medicare reassignment Care Compare group NPD
• Allergy, Asthma & Immunology Associates P.C.

  • Allergy & Immunology Physician
  • Omaha, NE
  • NPI 1063471860
  NPD

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1386362804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER RD STE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495011",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER RD STE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495011",
            "telephone_number": "605-217-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "DESIREE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "address_1": "4200 Pioneer Woods Dr",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685067563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Sterrett
• Craig A Stevens, CRNA
• Ethan Roth Stofferan
• Kelly R Stokes, CRNA
• Steven Jerome Stokesbary, MD
• Roger William Svec, P.T.
• Michaela Marie Sweeney, OT
• Robert P Swenson, CRNA
• Sierra E Thompson, ARNP
• Jeanne Thune, LMT, BCTMB, CHTP/I

• Audiologist in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Audiologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.