Active NPI
Kaitlin Jane Mausteller Sutliff, AU.D, CCC-A
- Audiologist
- Forty Fort, PA
National Provider Identifier
1396316360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AA0003117490
- Practice address
- 150 Welles St
Forty Fort, PA 18704-4966 - Phone
- (570) 338-2601
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AA0003117490 | PA | Primary |
Addresses
Primary practice location
150 Welles St
Forty Fort, PA 18704-4966
Mailing address
380 Spring Hill Dr
Hunlock Creek, PA 18621-3323
Phone (570) 772-3295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA0003117490 | PA | MD | Audiologist |
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Hunlock Creek, PA
- NPI 1063910768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1396316360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 SPRING HILL DR",
"city": "HUNLOCK CREEK",
"state": "PA",
"postal_code": "186213323",
"telephone_number": "570-772-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WELLES ST",
"city": "FORTY FORT",
"state": "PA",
"postal_code": "187044966",
"telephone_number": "570-338-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTLIFF",
"first_name": "KAITLIN",
"middle_name": "JANE MAUSTELLER",
"name_prefix": "Dr.",
"credential": "AU.D, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AA0003117490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forty Fort, PA
- Erica Lynne Sorber-Daub
- Laura Elizabeth Stempien, LBS
- Stephen M. Lawrence ,DMD, P.C.
- Kimberly Stokes, LPC
- Surgical Specialty Center of Northeastern Pennsylvania, LLC
- Andrew T Turrisi III, MD
- Valley ENT, P.C.
- Joseph P Vavrek, HEARING AID FITTER
- Allyson Nichole Villella
- Vision Innovation Centers of PA LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.