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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191002002948 | CT | Practitioner - Qualified Audiologist | 7517297658 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000400 | CT | MD | Certified Registered Nurse Anesthetist |
| 400 | CT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CT Ears, LLC | Audiologist | Current |
Accepting new patients |
Locations
440 N Main St
Ste C
Bristol, CT 06010
Phone (860) 583-5858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004228872 | Medicaid | CT |
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.