Rhonda L Sousa, AU.D., CCC-A

Individual provider Active NPI Audiologist · Bristol, CT

NPI 1528039435 · NPPES record last updated Jul 18, 2025

Key facts

NPI
1528039435
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
000400 (CT)
Practice address
440 N Main St
Ste C
Bristol, CT 06010
Phone
(860) 893-1977
Fax
(860) 845-5330
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20191002002948 CT Practitioner - Qualified Audiologist 7517297658

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
000400CTMDCertified Registered Nurse Anesthetist
400CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
CT Ears, LLC Audiologist Current
since Jul 22, 2025
Accepting new patients

Locations

440 N Main St
Ste C
Bristol, CT 06010
Phone (860) 583-5858

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X
Audiologist 231H00000X 000400 CT Yes

Addresses

Primary practice location

440 N Main St
Ste C
Bristol, CT 06010

Mailing address

440 N Main St
Ste C
Bristol, CT 06010

Other identifiers

IdentifierTypeStateIssuer
004228872MedicaidCT

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 18, 2025.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1528039435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N MAIN ST",
            "address_2": "STE C",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MAIN ST",
            "address_2": "STE C",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-893-1977",
            "fax_number": "860-845-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "RHONDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004228872",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

All providers in Bristol, CT · Audiologist in Connecticut

Sources for this page

Verify at the official NPI Registry.